Form Mvt: 15-1 - Repossessed Motor Vehicle Affidavit And Disposition Of Vehicle Under Lien - 1995

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MVT: 15-1
LABAMA
EPARTMENT OF
EVENUE
5/95
M
V
D
OTOR
EHICLE
IVISION
T
S
ITLE
ECTION
P. O. Box 327640 • Montgomery, AL 36132-7640 • (334) 242-9000
Repossessed Motor Vehicle Affidavit and
Disposition of Vehicle Under Lien
TYPE ONLY
TYPE ONLY
NAME (FORMER OWNER)
ADDRESS
CITY
STATE
ZIP
TITLE NUMBER
MAKE
YEAR
BODY STYLE
V.I.N.
DATE OF REPOSSESSION
LIENHOLDER
ADDRESS
CITY
STATE
ZIP
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 ________________________________ , 19______.
Lienholder: ____________________________________________
________________________________________________________
Signed by: _____________________________________________
NOTARY PUBLIC
AUTHORIZED REPRESENTATIVE
My commission expires _________________________ , 19______.
NOTE: This affidavit must be submitted as a supporting document when applying for a Certificate of Title For a Repossessed
Vehicle.

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