AFFIDAVIT

STATE OF FLORIDA                                                            DATE: [Date.Today]

COUNTY OF [lien.county]

[lien.vehicle_year]    [lien.vehicle_make]            VIN: [lien.vehicle_vin]

This to certify that we have not been able to locate the owner or lien holder of the above described vehicle. A physical search of the vehicle disclosed no ownership information and a “GOOD FAITH EFFORT” has been made to locate the owner on lien holder the state where the vehicle was previously register is unknown. The vehicle has no license plate when it was abandoned.

I herby affirm that the above statements are true and correct to the best of my knowledge and belief.

Signed: __________________________

Printed name: _____________________

                                                                                  Lienor Name

Sworn and subscribed to before me this [Date.Today]

Personally Known

_____________________________                ______________________________

(Notary Public)                                                   (My Commission Expires)