MVR-28 - Affidavit of Facts (Incorrect Assignment of Title or Certificate of Origin)

Sep 16, 2026

Uploaded by Angel

MVR-28 (rev. 04/26) is a North Carolina DMV no-fee affidavit form used when a title or certificate of origin was incorrectly assigned. The seller(s), buyer(s), and lien holder (if applicable) must complete their respective sections, including attestations and required notarization. The form identifies parties and vehicle details for the incorrectly assigned vehicle and any different vehicle delivered or purchased. It also includes notarization blocks to confirm voluntary signing for the stated purpose.

LanguageEnglish

CategoryForms

FormatPDF

Pages1

AccessFree to download

Purpose

Instructions and Required Completion

Part 1: Seller(s) Information

Part 2: Buyer(s) Information

Part 3: Vehicle Information

Part 3a: Incorrectly Assigned Vehicle

Part 3b: Vehicle Delivered to Buyer(s)

Part 4: Attestations and Notarization

Part 5: Lien Holder Information and Attestation

MVR-28 (rev. 04/26) North Carolina Division of Motor Vehicles No Fee Affidavit of facts: incorrect assignment of title or certificate of origin Purpose: This form voids the incorrect assignment of a certificate of title or manufacturer’s certificate of origin. All parties involved in the incorrect assignment (seller, buyer, and lien holder, if applicable) must complete this form. Part 1: SELLER(s) information Full legal name(s) of seller(s): (First, middle, last, suffix) Part 2: BUYER(s) information Address of seller(s): Street address, city, state, ZIP Full legal name(s) of buyer(s) (First, middle, last, suffix) Address of buyer(s): Street address, city, state, ZIP Part 3: Vehicle information Part 3a: Incorrectly assigned vehicle. Describe the vehicle that was incorrectly assigned. NCDMV will void the assignment of this vehicle. Year Make Model Vehicle Identification Number (VIN) Title number assigned, if known Part 3b: Vehicle delivered to buyer(s), if applicable. Leave blank if no vehicle was delivered. If the seller(s) delivered a different vehicle, describe it here. Year Make Model Vehicle Identification Number (VIN) Part 4: Attestations. All applicable attestations (seller, buyer, and lien holder, if applicable) must be completed and notarized. | SELLER(s) affidavit and notarization. Complete in the presence of a notary. Check the boxes next to all the statements that apply. I/we did not sell or deliver the incorrectly assigned vehicle, listed in Part 3a, to the buyer(s) .
I/we sold or delivered a different vehicle, listed in Part 3b, to the buyer(s) . (Do not check this box if Part 3b is blank.)
Signature(s) of seller(s) or authorized representative Date
Notary: I certify that the person(s) personally appeared before me this day, acknowledging to me that he or she voluntarily signed this application for the purpose stated therein and, in the capacity, indicated. Name(s) of principal(s):
Notary signature Date County State
Notary printed name Commission expires
Seal | | | --- | --- | | BUYER(s) affidavit and notarization. Complete in the presence of a notary. Check the boxes next to all statements that apply.

I/we did not purchase or take delivery of the incorrectly assigned vehicle listed in Part 3a. The title or certificate of origin was incorrectly assigned. I/we did purchase or take delivery of a different vehicle, listed in Part 3b, from the seller(s) . (Do not check this box if Part 3b is blank.) | | | Signature(s) of buyer(s) Date
Notary: I certify that the person(s) personally appeared before me this day, acknowledging to me that he or she
voluntarily signed this application for the purpose stated therein and, in the capacity, indicated. Name(s) of principal(s): | | | Notary signature Date County State
Notary printed name Commission expires | Seal | Only complete Part 5 if a lien is listed on the incorrectly assigned title or there is a lien on the vehicle listed in Part 3b. Lien holder completes Part 5. Part 5: LIEN HOLDER information and attestation Print name of lien holder Address of lien holder: Street address, city, state, ZIP | LIEN HOLDER affidavit and notarization Complete in the presence of a notary. Check the boxes next to all statements that apply.
We hold no interest whatsoever in the incorrectly assigned vehicle listed in Part 3a. The title or certificate of origin was incorrectly assigned.
We do hold a security agreement on a different vehicle, listed in Part 3b. (Do not check this box if Part 3b is blank.) | | | --- | --- | | Print name of lien holder Signature of lien holder authorized representative Date
Notary: I certify that the person(s) personally appeared before me this day, acknowledging to me that he or she
voluntarily signed this application for the purpose stated therein and, in the capacity, indicated. Name(s) of principal(s): | | | Notary signature Date County State
Notary printed name

FAQs

What situation requires using MVR-28 in North Carolina?

Use MVR-28 when the certificate of title or certificate of origin was incorrectly assigned. The purpose is to void the incorrect assignment.

Which parties must complete the affidavit?

All parties involved in the incorrect assignment must complete the form, including seller(s) and buyer(s), and the lien holder if applicable.

What information is required for the vehicles in Part 3?

Part 3a requires details for the incorrectly assigned vehicle, including year, make, model, and VIN (and the assigned title number if known). Part 3b covers the vehicle delivered to buyer(s), if applicable.

Sep 16, 2026

Uploaded by Angel