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Four Wheel, All Terrain Vehicle Affidavit

The following affidavit can be used with an all-terrain vehicle. However, the engine capacity of the vehicle has to be no less than 200cc to be considered eligible.

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FOUR WHEEL, ALL TERRAIN VEHICLE AFFIDAVIT 
( Attach to Title and Registration Application ) 	
I, the undersigned, do hereby swear that I had installed on  the following described four wheel, all terrain vehicle: 
Title Number _______________________________                                  Make  ________________________________\
_________ 
Model _________________________________ Year________________ Serial Number ___________________________________  
by ________________________________________________________________________\
________________________________  	
(name and address of person installing accessories) the  following motorcycle accessories, not to be exclusive: 	
______ Rearview Mirror ______ Headlights  _______200 cc Engine 
______ Horn ______ License plate light  _______Other (list) 
______ Exhaust & Muffler ______ Parking lights,  _________________________________  
  tail lights, stop lights  
  _________________________________  
I further swear that the above described vehicle is insured pursuant to SDCL Chapter 32-35, and the accessories meet the 
motorcycle standards of SDCL Chapters 32-15, 32-17, and 32-18. I also declare and affirm under the penalties of perjury that 
this affidavit has been examined by me and to the best of  my knowledge and belief is in all things true and correct. 
 Name:____________________________________________  
 Date: _____________________________________________  
Signed and sworn to before me this  ______ day of ___________________________________________________ , 20  _______  
 
 ____________________________________________________________________  
   Notary 
 My  Commission expires on the ________day of 
 __________________________________________ ,  20 ________  
Pursuant to SDCL 32-20-2 to operate the above vehicle you must have a valid driver’s license. 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
DOR:MV:304   (7-03)
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