Form 1311001 "Affidavit" - Tennessee

Form 1311001 or the "Affidavit" is a form issued by the Tennessee Department of Revenue.

The form was last revised in July 1, 2012 and is available for digital filing. Download an up-to-date fillable Form 1311001 in PDF-format down below or look it up on the Tennessee Department of Revenue Forms website.

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Download Form 1311001 "Affidavit" - Tennessee

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State of Tennessee
44 Vantage Way, Suite 160
Department of Revenue
Nashville, Tennessee 37243-8050
Vehicle Services Division
AFFIDAVIT
Comes the Affiant _______________________________________________________________
(Printed Name)
Under penalties of perjury who, being duly sworn, deposes and says, to wit as follows:
Further Affiant Saith Not
_____________________________________________
Signature of Affiant
ACKNOWLEDGMENT
State of Tennessee
County of ____________________________
On this __________________ day of ___________________, 20________, before me personally
appeared_______________________________________________________________________
to me known to be the person described in and who executed the foregoing instrument, and
acknowledged that he/she executed the same as his/her free act and deed, for the purposes therein
set forth.
_______________________________________
(County Clerk)
(Notary Public)
My Commission Expires _________________________________________, 20______________
RV-F1311001 (7-12)
RDA 692
Print
Reset
State of Tennessee
44 Vantage Way, Suite 160
Department of Revenue
Nashville, Tennessee 37243-8050
Vehicle Services Division
AFFIDAVIT
Comes the Affiant _______________________________________________________________
(Printed Name)
Under penalties of perjury who, being duly sworn, deposes and says, to wit as follows:
Further Affiant Saith Not
_____________________________________________
Signature of Affiant
ACKNOWLEDGMENT
State of Tennessee
County of ____________________________
On this __________________ day of ___________________, 20________, before me personally
appeared_______________________________________________________________________
to me known to be the person described in and who executed the foregoing instrument, and
acknowledged that he/she executed the same as his/her free act and deed, for the purposes therein
set forth.
_______________________________________
(County Clerk)
(Notary Public)
My Commission Expires _________________________________________, 20______________
RV-F1311001 (7-12)
RDA 692
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