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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