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How to fill out North Dakota SFN 16782

The narrow, free version of a duplicate. Where a credential the department issued never reached you at all - it was printed and posted, and nothing arrived - this sworn affidavit gets it reissued at no cost, and it covers titles, registration cards, licence plates, validation decals and mobility impaired placards alike. The certification is precise about the difference: the items listed have never been delivered to me or to the address listed in the records at the Motor Vehicle Division. A title that arrived and was subsequently lost is not this form's business; that is a duplicate application with a fee.

Written against SFN 16782 (4-2026), issued under North Dakota Department of Transportation, Motor Vehicle Division; sworn under NDCC chapter 12.1-11, cited in the form's own penalty note. The distinction this form draws is a legal one, sworn to in front of an officer, and it is not a nuance to be casual about. Never received means never received. If the certificate came in the post two years ago and has since vanished into a house move, the honest route is the duplicate application and its fee - and the penalty printed at the foot of this sheet, a Class A misdemeanor with a maximum of $1,000 and/or one year in jail, is what the department has put behind the difference.

Two documents, and they are not the same thing. Take the blank SFN 16782 from the dot.nd.gov copy so you get the revision that is current today, then print our SFN 16782 guide and keep it beside you while you fill theirs in.

Filled in

What a completed one looks like

This is the actual SFN 16782, rendered from the PDF the North Dakota Department of Transportation, Motor Vehicle Division publishes and completed end to end: letterhead, every field, and the blocks at the foot.

A completed North Dakota SFN 16782, Affidavit of Non-Receipt. The legal name block names Marlys J. Thorsrud of 1427 Chestnut St, Grand Forks, North Dakota 58201, with a daytime telephone number. The vehicle line reads 2017, Chevrolet, Equinox LT, 4-Door SUV, followed by the identification number and the title number. Of the five check boxes only Title is ticked; the mobility impaired placard, validation decal, registration card and licence plate rows are shaded grey. The name is printed and the legal signature line signed. The Acknowledgement block beneath is shaded grey.
Completed for a certificate the department printed and posted and the owner never received. One box ticked out of five, and the whole acknowledgement block grey because a notary fills every line of it. The affiant and the identifiers on the sheet are fictional throughout.
Field by field

Every line, in the order you meet it

  1. 1
    You fill this in

    Legal Name, telephone and address

    Your name as the department's record carries it, a daytime number, and your mailing address.

    Watch out: If this address is not the one the department has on record, say so when you send the affidavit - the certification you are signing is about what was delivered to the address in the record.

  2. 2
    You fill this in

    Year, Make, Model, Style

    Year, make, model and style, as the certificate that never arrived would have carried them.

    Watch out: Take it from your registration card if the certificate is the thing that never arrived. The two documents describe the vehicle identically.

  3. 3
    You fill this in

    Vehicle Identification Number and Title Number

    The two entries that identify the record rather than the car.

    Watch out: The title number appears on the registration card. If you have neither document, ring the Motor Vehicle Division before completing the affidavit rather than guessing at it.

  4. 4
    You fill this in

    Check all applicable items

    Tick Title, and any other credential that also failed to arrive - placards, decals with their month and year, registration card, or plates with their number.

    Watch out: Only tick what genuinely never came. Every box on this list is covered by the same oath and the same penalty note at the foot.

  5. 5
    You fill this in

    Name printed, and the Legal Signature line

    Print your name, then sign - and the label tells you where: before a Notary Public or Authorized Officer.

    Watch out: You are also promising to forward the original promptly if it ever surfaces. That undertaking does not expire when the replacement arrives.

  6. 6
    Somebody else fills this in

    The Acknowledgement block

    State, county, sworn date, the notary's printed name, the stamp, the notary's signature and a commission expiration date if it is not on the stamp.

    Watch out: Leave every line of it alone. Turning up at the notary with this block pre-filled is the fastest way to be sent away to print a fresh sheet.

At a glance

What goes where

On the formWhat to put in it
Legal Name and Daytime Telephone NumberYour identity as the department's record has it.
Mailing Address, City, State, ZIP CodeAnd this block does double duty - it is also the address the department will compare against the one on its record.
Vehicle descriptionYear, make, model and style; then vehicle identification number and title number.
The certificationI certify that I have not received the indicated items listed below for the above described vehicle and desire to have a duplicate issued at no cost - followed by an undertaking that if the original item is recovered it will be promptly forwarded to the Motor Vehicle Division.
Check all applicable itemsFive boxes: Mobility Impaired Placards with their numbers, Validation Decals (Tabs) with month and year, Registration Card, Title, and License Plates with the number.
Name (Type or Print) and Legal SignatureThe signature label carries the instruction - sign before a Notary Public or Authorized Officer.
AcknowledgementThe officer's record of the oath - state and county first, then the date sworn, a printed name, the stamp, a signature and an expiry.
The penalty noteThe filing of a false affidavit is a Class A misdemeanor punishable by a maximum penalty of $1,000 and/or one year in jail.

What gets this one rejected

Rules that decide whether it is accepted

Every line here was read off SFN 16782 (4-2026) itself — the PDF is here — and off the North Dakota Department of Transportation, Motor Vehicle Division pages. This is plain-language help with a form, not legal advice, and where our wording and the agency's differ, theirs governs.

Back to all North Dakota seller paperwork, or what selling a car in North Dakota involves.

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