Free Trustee Statement for Certificate of Title - Wisconsin

TRUSTEE STATEMENT FOR CERTIFICATE OF TITLE
Wisconsin Department of Transportation MV2790 12/2004 Vehicle Identification Number Year Name of Trust Name of Person Creating Trust Trust Created By Make Model Vehicle Type Date

Clear Form

Gross Weight Trust Federal Tax Identification Number Date Trust Created

Letters of Trust

Will

Other ­ Specify:

Principal Trustee Name (Person to whom all communications will be directed) Residence Address City, State, ZIP Code Co-Trustee Residence Address City, State, ZIP Code Co-Trustee Residence Address City, State, ZIP Code

Include the names, addresses and signatures of additional trustees on a separate page if necessary. The persons signing below as trustees of the above named trust affirm that: 1. 2. 3. 4. 5. This is a valid trust in existence at the time of this application. They are duly appointed trustees of the above-named trust. They have authority to buy, sell and register motor vehicles, which are the property of the trust. Their actions with respect to the transaction for which this document is provided are for the benefit of the beneficiaries of the trust. They understand that the Wisconsin Department of Transportation requires this document be provided as part of an application for Certificate of Title made by a trust and that the penalties for providing false information in this document include fines and imprisonment, per s.342.06(2) and 341.60 Wis. Stats.

NOTE: If the beneficiary of the trust personally qualifies for specialized plates (i.e., disabled, military group, etc.) the plates may be issued to the trust after payment of the necessary fees.
Clear Form

Check if applicable Trustees have the authority to grant a lien on motor vehicles, which are the property of the trust. Trustees have the authority to file and release liens against motor vehicles.

(Principal Trustee Signature)

(Trustee Signature)

(Trustee Signature)

Person(s) signing affirm(s) authority to sign and convey interests in this motor vehicle. In general, per s.701.19(9)(a) Wis. Stats., the majority of the trustees must sign unless the Trust documents provide otherwise.