For the purpose of determining eligibility, "spouse" has the same meaning as in Part III of the Family Law Act, as stated below:
Either of the two persons who,
Either of two persons who are not married to each other and have cohabited,
Spouse Declaration for the transfer of a vehicle bearing:
Vehicle Identification Number (VIN):
are spouses as defined in Part III of the Family Law Act stated above.
I, (print name)
authorize the transfer of my licence plate number (plate number)
to (recipient name)
Plate Owner Signature
I, (print name)
acknowledge that licence plate (plate number)
may go into plate denial for unpaid amounts incurred
against the licence plate before and/or after the date of transfer. Should the licence plate go into plate denial,
the licence plate will not be renewed and/or a new vehicle permit will not be issued until the applicable unpaid
amounts are remitted. Applicable unpaid amounts may include charges in respect of NSF cheques provided to
the Ministry, unpaid fines and 407 tolls and related charges.
Under provincial legislation, the penalty for making a false statement may include a fine and/or imprisonment and/or a driver’s licence suspension. Information on this form is collected under the authority of the Highway Traffic Act. If you have any questions about the collection and use of your personal information collected on this form, please call the Supervisor, ServiceOntario at 416 235-2999 or 1 800 387-3445 or write to the Supervisor, Ministry of Transportation, Licensing Administration and Support Office, Main Floor, Building A, 1201 Wilson Avenue, Downsview ON M3M 1J8. Direct general inquiries to ServiceOntario at 416 235-2999 or 1 800 387-3445 or visit ServiceOntario.ca.
SR-LV-139E (2011/12) © Queen's Printer for Ontario, 2011
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