ALABAMA DEPARTMENT OF REVENUE MOTOR VEHICLE DIVISION TITLE SECTION P.O. Box 327640 • Montgomery, AL 36132-7640 • [email protected] MVT: 15-1
1/12
TYPE ONLY
Repossessed Motor Vehicle Affidavit and Disposition of Vehicle Under Lien THIS FORM MAY BE DUPLICATED OR ADDITIONAL COPIES MAY BE OBTAINED FROM THE DEPARTMENT WEB SITE AT www.revenue.alabama.gov/motorvehicle/mvforms/mvt15_1.pdf
VEHICLE IDENTIFICATION NUMBER*
YEAR
TYPE ONLY
DATE OF REPOSSESSION
MAKE
MODEL
NAME (FORMER OWNER)
ADDRESS
CITY
STATE
ZIP
STATE
ZIP
LIENHOLDER
ADDRESS
CITY
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: ____________________________________________
________________________________________________________
Signed by: _____________________________________________
NOTARY PUBLIC
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.