Form Mv-603 - Notice Of An Abandoned Vehicle And Request For Information
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1MV-603 (Rev. 06-2005)
Page 1 of 1
NOTICE OF AN ABANDONED VEHICLE AND REQUEST FOR INFORMATION
Research fee: $2.00 for printout of tag, title & lien information per abandoned vehicle
I do solemnly swear or affirm that the vehicle described herein is or will become abandoned or a derelict
motor vehicle as described in §40-11-1 of the OCGA. As provided in Code Sections §40-11-2 and §40-11-9
of the OCGA, this is to request the names and addresses of all owners, lessors, lessees, security interest
holders and lien holders of such vehicle.
I understand that I shall not be entitled to any storage fees if I do not provide the notice and information
required by §40-11-2 and §40-11-9 of the OCGA.
I also understand that any person who knowingly
provides false and misleading information when providing any notice of information as required by §40-11-2
and §40-11-9 of the OCGA shall be guilty of a misdemeanor punishable by fine up to $1000 or by
imprisonment of up to one (1) year.
Name of Person Removing or Storing Vehicle
Vehicle Identification Number
Street
Year
Make
Model
City
State
Zip
Tag No.
State of Issue
Date Vehicle Removed
Present Location of Vehicle (Street Address)
Date Vehicle Becomes Abandoned
City
State
Zip
Location Vehicle Removed From
Telephone Number (including area code)
City
State
ZIP
Sworn to and subscribed before me this __________day of ___________________, __________
(Day)
(Month)
(Year)
X____________________________________________________________________________
(Authorized signature of person removing/storing vehicle)
X_____________________________________
____________________________________
(
Notary Public’s Signature and Seal or Stamp)
(Date My Notary Public Commission Expires)
________________________________________
(Notary Public’s Georgia Driver’s License Number)
Mail the Notice and Request for Motor Vehicle Information (Form MV-603) and fee to the County
Tag Agent in the county where the vehicle is stored or to:
ATTN: Research/Abandoned Vehicles
Department of Revenue/Motor Vehicle Division
PO Box 740381
ATLANTA, GA 30374-0381
Except for signatures, this form must be typed, electronically completed & printed or legibly hand
printed in black or blue ink.
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