Clear Form
CONSENT TO PURCHASE CERTIFICATION
(Owner under 18 years of age) Ch. 341 Wis. Stats.
MV2924 11/2006
Wisconsin Department of Transportation
Owner Name Vehicle Identification Number Vehicle Year Make
I certify that I have legal custody of the person named, who will be the owner of the identified vehicle. I consent to the purchase by such person and registration in the applicant's name of the described vehicle.
State of Wisconsin County Subscribed and sworn to before me this date: ) ) ss )
(Parent, Guardian, or Legal Custodian Signature)
(Date)
(Signature, Notary Public, State of Wisconsin)
(Print Name)
(Print or Type Name, Notary Public, State of Wisconsin)
(Date Commission Expires)
Print