Statement Of Existing Lease Agreement
Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Statement Of Existing Lease Agreement Form. This is a Indiana form and can be use in Department Of Revenue Statewide.
Loading PDF...
Tags: Statement Of Existing Lease Agreement, Indiana Statewide, Department Of Revenue
STATEMENT OF EXISTING LEASE AGREEMENT
State Form 12787 (R / 3-96)
The following statement must be properly signed by both Lessor and Lessee, and presented to the Bureau of Motor Vehicles for title / registration of
all leased motor vehicles.
We ___________________________________________ Address _________________________________________________________________
are the owners of:
Year ____________ Make _____________ Identification # _______________________________________________________
and have entered into a lease agreement with the following lessee:
Address
Lessee
County
THE PLATE FEE AND COUNTY EXCISE TAX ARE TO PAID BY THE: (Check one)
LESSEE
LESSOR, and will remain the property of the same.
(If plate / excise ownership is different than indicated, an attached affidavit stating ownership is required.)
THIS AFFIDAVIT HAS BEEN REVIEWED, AND IS BEING SIGNED UNDER PENALTY OF PERJURY
.
Signature of Owner / Lessor
Date (month, day, year)
By (Name)
Position
Signature of Lessee
Date (month, day, year)
STATEMENT OF EXISTING LEASE AGREEMENT
State Form 12787 (R / 3-96)
The following statement must be properly signed by both Lessor and Lessee, and presented to the Bureau of Motor Vehicles for title / registration of
all leased motor vehicles.
We ___________________________________________ Address _________________________________________________________________
are the owners of:
Year ____________ Make _____________ Identification # _______________________________________________________
and have entered into a lease agreement with the following lessee:
Lessee
Address
County
THE PLATE FEE AND COUNTY EXCISE TAX ARE TO PAID BY THE: (Check one)
LESSEE
LESSOR, and will remain the property of the same.
(If plate / excise ownership is different than indicated, an attached affidavit stating ownership is required.)
THIS AFFIDAVIT HAS BEEN REVIEWED, AND IS BEING SIGNED UNDER PENALTY OF PERJURY
.
Signature of Owner / Lessor
Date (month, day, year)
By (Name)
Position
Signature of Lessee
Date (month, day, year)
American LegalNet, Inc.
www.FormsWorkflow.com
