MVT: 15-1 1/12 Repossessed Motor Veh icle Affidavi t and ...

MVT: 15-1 1/12

ALABAMA DEPARTMENT OF REVENUE

MOTOR VEHICLE DIVISION

TITLE SECTION

P.O. Box 327640 ? Montgomery, AL 36132-7640 ? titles@revenue.

Repossessed Motor Vehicle Affidavit and

Disposition of Vehicle Under Lien

TYPE ONLY

THIS FORM MAY BE DUPLICATED OR ADDITIONAL COPIES MAY BE OBTAINED FROM THE DEPARTMENT WEB SITE AT revenue.motorvehicle/mvforms/mvt15_1.pdf

VEHICLE IDENTIFICATION NUMBER*

DATE OF REPOSSESSION

YEAR

MAKE

MODEL

NAME (FORMER OWNER)

ADDRESS

CITY

STATE

ZIP

LIENHOLDER

ADDRESS

CITY

STATE

ZIP

TYPE ONLY

This is to certify that the undersigned has repossessed the motor vehicle described above because of the failure of the former owner to meet the obligation for settlement of a Lien of Security Interest on said vehicle and that the Interest of the Owner was lawfully terminated. The said vehicle was sold or reassigned, pursuant to the terms of the Security Agreement.

SUBSCRIBED AND SWORN TO BEFORE ME THIS

________ day of ________________________________ , ________. Lienholder: ____________________________________________

________________________________________________________

NOTARY PUBLIC

Signed by: _____________________________________________

AUTHORIZED REPRESENTATIVE

My commission expires _________________________ , ________.

NOTE: This affidavit must be submitted as a supporting document when applying for a Certificate of Title For a Repossessed Vehicle.

*All VINs for 1981 and subsequent year model vehicles that conform to federal anti-theft standards are required to have 17 digits/characters.

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