ยง 4-32 Affidavit for return of seized property by lienholder of automobile
STATE OF LOUISIANA vs. _______________ DEFENDANT _____ JUDICIAL DISTRICT COURT FILED ________ : ________ DEPUTY CLERK AFFIDAVIT I, ________ , after being duly sworn, state as follows: (1) That I am the registered lienor on the ________ (automobile), Louisiana license ________ , identification number ________ . (2) That the lien recorded in the Office of the Department of Motor Vehicles is in the amount of $________ , secured by a notarized Security Agreement dated ________ , ________ , in favor of ________ , ________ , ________ , Louisiana ________ . (3) That the lien is equal to or more than the assessed value of the vehicle, which value is appraised at $________ . (4) That I was ignorant of the illegal use of this vehicle, and the illegal use was without my connivance or consent.
By:________ Signature Sworn to and subscribed before me this ________ day of ________ , ________ .
_____________ Notary Public