Affidavit Of Disposition Of Abandoned Motor Vehicle Form printable pdf download

IN THE MAGISTRATE COURT OF WALTON COUNTY, STATE OF GEORGIA

Civil Action#: ______________________________

_____________________________________________

AFFIDAVIT OF DISPOSITION OF

Plaintiff/Lien Claimant

Vs.

ABANDONED MOTOR VEHICLE

_____________________________________________

Motor Vehicle (list year, make, model)

_____________________________________________

Vehicle Identification Number (VIN#)

_____________________________________________

Tag number (list State, if applicable)

The name(s) and addresses(s) of the last known registered owner(s) &/or lienholder(s): (“Owner” means registered owner, the owner as recorded on

title, lessor, lessee, security interest holder(s) & all lienholders as shown on the records of the Department of Motor Vehicle Safety);

_______________________________________________________________________________________________________________________________________

I, ___________________________________________________________, (hereinafter referred to as Plaintiff), personally appeared before the

undersigned officer, duly authorized to administer oaths, swears/affirms the following;

The vehicle was redeemed by owner/lienholder prior to public auction. No sums are due and payable.

OR;

The vehicle was sold at public auction: On ____________________.

Date of Sale

_____________________________________________________________________________________________

Address of sale (street, city, state, zip code)

Within the city limits of: ___________________________________________________.

Unincorporated Walton

County.

The sale was conducted in compliance wit the provisions of O.C.G.A. 40-11-6.

The vehicle was impounded at the request of a:

private individual

city officer/official of ________________________________________________ (Name of Municipality)

county officer/official

Georgia State Patrol.

The amount received for the vehicle at public sale:

$ _____________________________

The amount of the lien on the vehicle

$ _____________________________

Future storage at $ ______________ per _____________ (days) $ _____________________________

The amount due to Clerk of Court and submitted herewith

$ _____________________________

A true and correct copy of the bill of sale of the vehicle is attached hereto as Exhibit A.

_______________________________________________________________

Plaintiff or Agent for Plaintiff

Sworn to and subscribed before me this

_______day of ________________________________, 20_______.

_____________________________________________________

Notary Public/Attesting Official

Affidavit Of Disposition Of Abandoned Motor Vehicle Form

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