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( ) A Classic Vehicle defined in 29A, M.R.S.A., Section 101, subsection 15, as “A motor ... - page 1 / 2

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    SECRETARY OF STATE

                                                                                  BUREAU OF MOTOR VEHICLES

                                                                          VEHICLE SERVICES - TITLE SECTION

AFFIDAVIT OF OWNER OF AN ANTIQUE AUTO, HORSELESS CARRIAGE, OR CLASSIC VEHICLE

(To accompany application for Maine Certificate of Title)

I hereby certify that I am a resident of ______________________, in the County of ___________________, City or Town                     County

in the State of Maine and that I am the owner of a _______  _________  ____________________________.

           Year      Make     Vehicle Identification Number

I further certify there are no liens or encumbrances against this vehicle.

I certify that this vehicle is:

(   )  An Antique Auto defined in 29A M.R.S.A., Section 101, sub-section 3, as “Any automobile or truck manufactured in or after model year 1916, which is over 25 years old, which is equipped with an engine manufactured either at the same time as the vehicle or to the specifications of the original engine of the vehicle, which is maintained primarily for use in exhibitions, club activities, parades and other functions of public interest and which is not used as its owner’s primary mode of transportation of passenger or goods.”

(   )  A Horseless Carriage defined in 29A M.R.S.A., Section 101, subsection 28, as “Any motor vehicle made before model year 1916, which is equipped with an engine manufactured either at the same time as the vehicle or to the specifications of the original engine of the vehicle, which is maintained primarily for use in exhibitions, club activities, parades and other functions of public interest and which is not used as its owner’s primary mode of transportation of passengers or goods.”

(   )  A Classic Vehicle defined in 29A, M.R.S.A., Section 101, subsection 15, as “A motor vehicle that is at least 16 years old but less than 26 years old that the Secretary of State determines is of significance to vehicle collectors because of its make, model and condition and is valued at more than $5,000.”

                                                                                                    ______________________________________________________

        Printed Name of Owner

                                                                                                     ______________________________________________________

             Signature of Owner

NOTARIZATION REQUIRED

Personally appeared the above named ______________________________________ and made an oath that

the statements on the foregoing application are true.  

Subscribed and sworn before me this _____________________ day of ______________________, 20_____.  

Notary Public for ______________________________ County, Maine.

             ____________________________________________

                                                                                                              Signature of Notary or Attorney

Instructions on Reverse

101 Hospital Street, #29 State House Station, Augusta, ME 04333-0029 Tel. (207) 624-9000 Ext. 52139  Fax: (207) 624-9239  TTY: 877-456-8195

MVT-34 Rev. 02/11

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