Form AR14 "Sworn Statement" - Illinois

What Is Form AR14?

This is a legal form that was released by the Illinois Secretary of State - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2013;
  • The latest edition provided by the Illinois Secretary of State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form AR14 by clicking the link below or browse more documents and templates provided by the Illinois Secretary of State.

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Download Form AR14 "Sworn Statement" - Illinois

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OFFICE OF THE SECRETARY OF STATE
DEPARTMENT OF ACCOUNTING REVENUE
SPRINGFIELD, ILLINOIS
The following SWORN STATEMENT is made by me to Jesse White, Secretary of State,
to support my request for refund of motor vehicle license fees.
That I am/was the owner of a _____________________________________________
____________________________
, VIN __________________________________
on which License No. _______________________ for the registration year _________
was issued by the Secretary of State.
The last date this vehicle was operated, while licensed and titled in Illinois in my name,
was on _________________________________ , and because of sale or non-use of
Month/Day/Year)
the vehicle, I am making a request to Jesse White, Secretary of State, for a refund of
the license fees of $ ____________ , paid by me.
I declare under penalty of perjury under the laws of the State of Illinois that the state-
ments above are true and correct.
____________________________________
Signature
____________________________________
Address
____________________________________
Month/Day/Year)
Printed by authority of the State of Illinois. March 2013 — 100 — AR 14.10
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OFFICE OF THE SECRETARY OF STATE
DEPARTMENT OF ACCOUNTING REVENUE
SPRINGFIELD, ILLINOIS
The following SWORN STATEMENT is made by me to Jesse White, Secretary of State,
to support my request for refund of motor vehicle license fees.
That I am/was the owner of a _____________________________________________
____________________________
, VIN __________________________________
on which License No. _______________________ for the registration year _________
was issued by the Secretary of State.
The last date this vehicle was operated, while licensed and titled in Illinois in my name,
was on _________________________________ , and because of sale or non-use of
Month/Day/Year)
the vehicle, I am making a request to Jesse White, Secretary of State, for a refund of
the license fees of $ ____________ , paid by me.
I declare under penalty of perjury under the laws of the State of Illinois that the state-
ments above are true and correct.
____________________________________
Signature
____________________________________
Address
____________________________________
Month/Day/Year)
Printed by authority of the State of Illinois. March 2013 — 100 — AR 14.10