Professional Documents
Culture Documents
Department of Revenue Attn: Title Hearing Request PO Box 740381 Atlanta, GA 30374-0381
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Payer Information Name: Street Address: johnny davis 1970 covent ct lithonia, GA 30058 United States Daytime Phone Number: E-mail Address: Customer 10: VIN: Customer Name: Cashier Initials: Card Information Card Type: Card Number: Payment Information Payment Type: Payment Amount: Convenience Fee: Total Payment: Title $5.00 American Express **'*"****1 0 18 (404) 309 - 0041 johndoe@yahoo.com 042704965 1fuysseb011g56830 johnny davis jr bp
$1.00 $6.00
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... 5/31/2012
The Department of Revenue, Motor Vehicle Division releases vehicle information according to state and federal law. Do not pay a fee unless you are eligible to receive vehicle information. Fees are not refunded. Falsification of information on any request for vehicle information will result in the loss of services with the Department's Motor Vehicle Division. When you make a request for information, you are solemnly swearing, affirming or promising under criminal penalty of a felony for fraudulent use of a false or fictitious name or address or for making a material false statement punishable by fine up to $5,000.00 or by imprisonment of up to 5 years, or both, that the representations you have made on this form and on any other required document or request are true and accurate. Place a check mark next to the Customer Type to validate eligibility to receive vehicle information. Submit Required Documents Q! complete Required Information A driver's license Q! other proof of identity that includes a picture of the person making a request is always required. Submit a self-addressed, postage paid envelope in addition to the other required documents/information and fees if the information is to be mailed to you. Requests for title histories maintained on microfilm are limited to three (3) per day. We can only provide copies of title applications and supporting documents for titles issued within the last five (5) years. In addition to any other requirement listed in Required Documentsiinformation, if you are not the owner of the vehicle, a dealer Q! a law enforcement officer, you must complete and submit one (1) of the following: Form MV-20A (Information required for production of documents in response to a subpoena for confidential motor vehicle records) OR Information required for production of information/documents in response to a request for confidential motor vehicle records)
....
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Customer !yp~e
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or bill(s) of sale must be submitted validating ownership from the owner in MVD records. ..... ....
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Out-of-state Dealer
! I
'1
[ 1
Form MV-20A If a security interest is claimed, a copy of the contract must be submitted or requestor's lien/security interest must be perfected on owner's title record. Form MV-20A
AND
[ 1 Insurance
~ehiCle-a"cdde~t-as"aiJoperator-'
!,!i!!t?ut., Printout
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fVehicle"fu Number --.- (Vehicle
information .. ..
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as possible. VehicleOwner's
Nam~ess-'"
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PO BOX 740381 Atlanta, GA 30374 See llJ::;(;n4),;n~ et seq. (the "Driver's Privacy Protection Act"); O.C.G.A. 40-3-23 and 40-2-l30. Pichler v.UNITE. et al., 339 F. Supp. 2d 665 (E.D. Pa. 2004).
rd.
REGULA.R
BRANDS:
10.00
111. DD
REPLACEltII!NI'
II 1111111I1111111 99021105819823
Date: 09/15/2009 Tag III
User ID: $@#LRL Expires:
21.DD
OWN TO OPERATE
INC
IFOYSSEnOlLGS6830
WEN RECORDING INFORMATION: 001105682844 MISSION FINANCIAL SERVICES GROUP CORP 2340 W BEu.. RD STE 124 POOENIX'. AZ, 850233207
DOR-MVD
Title/Tag
Application
I Vehkle Sed:Eon: E')(ceptfor tft(l sl!!nature, this app({cat!on must be lypl;ld, electronically completed printed or legibly hand printed In black Vehicle rdentllkatiQn Number Year \ Malee \ Sody Style \ Model Color Cyt1nde~ \.f C..;d ~ \lG-5~~ 2001 FREIGHTLINER TRUCK FLD120
Original TIlle Fee $ 18.00 Replacement TIUe Fee 8.00 TIUe Penally Fee 10.00 Ucense Plate to Transfer (A\lech copy of oulTent ro-g""I~""\ra-\"'lo-n-:C.)GA Sa/os Tax $ _ Exped~ ed Tl1le Fee $ W.OO exQf!!dUed '!tie Pf9CMS!"Q" only 8va'lablv by moQor In person a! Stale MVD. '
County Ad Valorem Tax Licenae Tag F Mfg. Fee Spedal Tag Spec/al TSII Annual Fee Tag iran&fer Fee 10% Tax Penally ($5 Min.) 25% Tag Penalty TaQiOaca\ Ma.1I Fee
&
$, $
S
~OO 00
00
$ $
$
.00 00
.00
$ $
I
I
Date purch~1
Emission certmcate #
09/1 OL09
Odometer Reading No tenths EXEMPT
Io
[Current
TItle #
I GA
-I
CUrrentlltle's
State of Issue
Odometer ",.dlng I. aetual milos unlesa you check 00" 01 the followln" boxea: IZl EXEMPT Exc""d~ Machanlcal Uml!. 01 ocometer D HlIllhe Actual Mileage. Warning odometer dl.crop.ncy 90mplet(J Truck? ONo FQr All Trucks OV(Jr 14,OQO Gr(?ss V~hlcle Weight Used For Hire? Type of Trailer Pulled? Product Hauled? Dyes Owner ONo Section of OWner Middle. #1 Last Sl.Iffix Leasod V(Jhlc:llJ?
GA County of Residence
I USI:D
District II Fuel DIESEL
I
DNo
Gross Vehlde
Straight pYes
1,1
Number
of Owners
No
.1
1
I
Full First.
Loaal
Name
--I
Lessee SBctlon)
of Birth
Stale/Country of l~s\J"
1
If you purc:hased this vehlde from an outof-state dealer/business, did you pick-up the vehicle out-of-state? DYes ENo .] Owner Full Legal Name of Business/Leasing Company's Name
'I \ oq~\qo
OWN TO OPERATE
# 2
State/Country 01 Inue
Full First.
Legal
Name Middle,
of Owner
I Date
of Birth
Full legal
Name of Buslness/Leaslng
Address (Street arjdress Intludloll dty, state 13< Zip) 1970 COVENT COURT LITHONIA. GA 30058 SelierSecUon GA Dealer's/Bank's 12.Dlglt CustDmer 10#
Mailing Address (Ir dllferent from street address Including city, state & zip)
I
Sellers GA S~les Tax #
Section
Or Issue, If Individual"
Lessee's Full Legal Name ill Address or Business Lessee's Full Name & Address:
I
SecurItY,
I Number
Security Interest Holder's/Wen Holder's 12 Digit Customer [0 # Name & Address of l"Securlty Interest Holder/Uen Holder: MISSION FINANCIAL SERVICES GROUP CORP 2340 W. BELL #124 PH.OENIX. RIZ 65023 Serorlty Interest Holders/LIen Holder's 12 digit CUstomer 10 #
[ Securtty Interest Holder's/l.Ien Holder's 12 digit Customer ID # Name & Address of 2nd Security Interest Holder/Wen Holder:
- Attach original
power of att(lrnBY
I do solemnly st atement
p"~~r~:;~ ':i'l ~
SWfl,,",
r affirm under crtmtnal ;.6f~~ountrv ent, tv bill, etc,
penalty
~~
statements
"~I,
ar
or for maldng
a material ccurate.
false
true
'';'
IIcen,vattach
driver's
residency,
e.g, copy
of voter
registration
W~
~M~IS~S~rQ~N~F~I7.N~A~N~C~I~A~L=S~E~R~V~JC~E~S~G~B~O~V~p~C?O~R~P~O~R~A~T~/~O~N~ -J
(Name or
PHOENIX.
AZ 85023
to
execute title
documents
on
corporation or
partnership for vehides owned by our company, corporation, or partnershlp. Note: An Officer, pertner or owner of the company, corporation or partnership must
~(jH
JUri E
(Day) (Month)
IAN SIFUENTES
(PrInted
Name
(Signature 0 ~,
~~
REGIONAL
VoiCE
PRESIDENT
(Job TltleJPcSltlon)
Generallnfonnation We In-person
CUStomer service operatrons of the Deparllnent of Revenue's Motor Vehicle Division retains these affidavits, Form T-19, In the lltle Processing Unit for one (1) year from the date received. The IndivIdual granted authority to sign for your company, corporation or partnership must submit two (2) ol1glnal affidavits, Form T-19, to the TItle ProcessIng UnIt of the Motor Vehicle Division. The Motor VehIcle DivisIon returns to the IndMdual one (1) OrigInal, stamped affidavit, which indicates that it is in our files and valid for one (1) year from the date received. The authoriZed Individual must submit a legible copy of the 'stamped' affidavit, Form T19, with ~ set of title documents submrttedfor processing on behalf of your company,
corporation or partnership.
*111ls fonn can be electronlcallv completed and prtnted from the Department of Rev<anue's web site, www.dQr.ga.gQv. for signing, notarization and submission iO-P$lrsqn only! The address for the Motor VehIcle DIvision Is: llt1e Processing WindOW, Motor Vehide Division, 1200 licIdeport Blvd., Hapeville, GA 30354. The In-person CUstomer- Service Operations Is open Monday through Friday from 8:00 a.m. to 4:30 p.m, exdudlnq state holidays. Except for the sfgnature, thls form must be typed, elecb'onlcally completed and printed or leglblY~d in blue or black Ink. An authorized representative of the company. corporation I~SFI. Vi\fn..l r"" completed form and enter his/her position or job title wi tPte com~T~ratlon~HICL~ partnership In the space provided. OlV1SfON FOR YE FROM rH~ _ l.t: AR Any alteration orcorrec:tion VOids~~f?'i}Y.LS Rt:=.CEIP: OATE
oxe
at
'
J.ji\IJ-,
'7U
R-~
c,.},.
NTft,TIVE
AUTHOQIZED
Affidavit of Authority to. Receive TrtJe(s) andjorTrtle Documents for a Company, Corporation or Partnership
The MISSION FINANCIAL SERVICES
GROUP CORPORATlON
(Name of Company, Corpomtlon or Partnership)
PHOENIX, AZ 85023
(Oty, Stale & ZIp)
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(Typed or Printed FWIlegal Name of Appointed Attorney-in-Fact)
Has the authority to receive delivery of titles or title documents, above named company, corporation or partnership. Sworn to and subscribed before me
This~:...,-,-
on behalf of the
IAN SIFUENTES
(Printed
Name)
~
REGIONAL
(Signature)
VICE
PRESIDENT
This form must be signed under oath by an officer, partner or owner of the company, corporation or partnership. The State Motor Vehicle Division only holds powers of attomey on file one (1) year from the recelpt date in our Customer Service Operations Section. The above named attorney-in-fact will be required to submit two (2) original powers of attomey in-person to the Motor Vehicle Division. At that time" one (1) of the two (2) orjginal powers of attomey will be returned to the submitter with a stamp affixed Indicating that it is on file with the Motor Vehlde Division for one (1) year from the receipt date. The attorney-in-fact, will then be required to submit a legible valid copy of this 'stamped' power of attorney with ~ set of documents where he/she is authorized to pick-up titte(s) or title documents on behalf of your company, corporation or partnership.
Note:
t. .
1FUYSSEB01LG56830
FREIGHTLINER
NEW OR USED
2001
TRUCK TRACTOR
. PREVIOUS 1mE
CONVENTIONAL F.
NBR
CYL 6
OAtEISSVED
09/15/2009 -.
ODOMETER
NBR/STA'IE OF ISSUE
OF LIENS
COLOR
USED
EXEMPT
602899092536907
GA
WHI
. -:.:-
1111111I11111111111111111111111111111111111111111111111111111I11111111111111111111111
~ '. The Georgia:Depilf~entbfReve~ue issued this title pursuant to tJieM~tor Vehicle Certificate ofTiti~. Act and this title is subject to its j>royisionsc.The Department certifies that on application duly made,. I the person named herein is registered as the lawful owner of the vehicle described subject to any
liens or security Interests set forth and such-liens or security interests as may subsequently.be ""f'-jt;j'Hr-="""""~-l!jfil!!'Jed with theCommissioner," -
IMPORTANT NOTICE TO ALL PERSONS FILING ABANDONED MOTOR VEHICLE FORECLOSURE AFFIDA VITS As you should already be aware, new statutory procedures for the creation and foreclosure of abandoned motor vehicle liens took effect on January 1, 2003. New, statutorily mandated forms have been adopted by the State Department of Motor Vehicle Safety, including the affidavit to file with the court. Eventually, that form will be used in every case. However, there will be a transition period of about twelve months during which time the old statutes and the new statutes will be used, depending on the time oftowing or abandonment. WHICH LAW APPLIES TO MY CASE? For vehicles towed or abandoned on or after January 1, 2003, you must use the new DMVS affidavit form (MV-603a) with all required exhibits; any other forms will be rejected. For vehicles towed prior to January I, 2003, the old procedures still apply. Do not attempt to use the new forms for vehicles towed prior to January 1, 2003. Your affidavit must comply with the old statutes and must now provide a tow date so that the court can confirm that the old statutes mmlY. Failure to include the tow date will result in denial of your claim. WHAT ARE THE NEW FILING REQUIREMENTS UNDER THE NEW LAW?
The new law provides that the DMVS will be establishing uniform forms for use in lien foreclosure proceedings (0. C. G.A. 40-11-5). You must continue to provide a completed order for the court to sign. The DMVS has adopted a form order which you must use; a copy of the order form is attached to this notice. WHAT ABOUT THE EXHffiITS REQUIRED IN MV603a?
As mentioned above, the DMVS forms are now mandatory. Use of the exhibits required by that form is therefore obviously mandatory. The following exhibits are required: EXHIBIT A a copy of the document provided to you by law enforcement in response to your initial request for owner information EXHIBITB BOTH (1) a copy of your initial notice letter (which must comply with O.C.G.A.40-11-2(d)); AND (2) a copy of the green card or the returned envelope EXHIBIT C a copy of the MV603 EXHIBIT D Both 1) a copy of the notice letter(s) provided by DMVS in response to the MV603; AND 2) a copy of the green card(s) or the returned envelope(s) OR for unknown owner situations, a copy of the legal advertisement meeting the requirements of 0.C.G.A. 40-11- 2(g) a copy of any correspondence you have received in response to your notices, EXHIBITE
Page 1
,( I
OR
if there has been no response, you may mark EXHIBIT D as "EXHIBIT D AND E" Our court is thankful for those of you who brought some of these issues to our attention and we hope that this memorandum proves helpful to all filers, There may be other issues that arise due to the statutory changes, If other general, procedural issues such as the ones addressed herein arise, ~ we will provide additional procedural guidance, Please remember, however, that the court cannot give legal advice to any person or company, and this notice is strictly intended to provide general procedural guidance so that the substance of abandoned motor vehicle claims can be evaluated, The new DMVS forms are available at www.dmvs.ga.gov.
Page 2
IN THE 1vLA..GISTRATECOURT OF
STATE OF GEORGIA
COUNTY
PLAlNTIFF v.
* *
* *
*
DEFENDANT
--------------------
*
ORDER
The Plaintiff having demonstrated to the Court that the following motor vehicle:
01ehicle
Identification
Number)
(Year)
(Make)
(Model)
is an abandoned
o.c.o.x.
40-11-4; and
The Plaintiff having submitted an affidavit as required in O.C.G.A. 40-11-5(2) wherein he/she/it demonstrated said lien; and
No timely petition for a hearing has been filed with the Court or Plaintiff having
otherwise proven by a preponderance of the evidence that such lien is valid; IT IS HEREBY ORDERED that foreclosure of said lien is authorized, and the vehicle may he sold subject to the lien to satisfy the debt if such debt is not otherwise immediately paid in full. SO ORDERED, this __ day of
, 20 __
County
Please put the documents in the following order. Keep copies of all documents mailed or submitted to the court. We only need originals of the order and Affidavit. All other documents may be copies. 1. Order - This document is included in the packet, complete the top portion. 2. Affidavit - Use the Universal affidavit in packet, complete and notarize. 3. Authorization to Tow: a. Law Enforcement Tow Ticket; b. Written authorization from the private property owner; or c. Plaintiff's business record that provides, the date of tow, the location the vehicle was towed from, the name (and badge no. if a law enforcement officer), title and employer of the person who authorized the tow. 4. NCIC Report. Obtain this document from Central Records. It provides each name and address of each owner and lienholder. 5. T22-B. Obtain this document from the MVD. Then have an officer come out to the location of the vehicle and complete the form.
\
6. MV-603. Obtain from MVD, complete and file it at the MVD. If the vehicle is registered in another state provide a copy of the form used to request the names and addresses of owners and lienholders in that other state. 7. MVD Vehicle Title & Tag Information Report. (Or similar report from another state if the vehicle is registered out of state.) This report will provide you with the registered owner(s) & lien holder(s) mailing information. This report will probably say "no record.". 8. Newspaper Ad. Provide a copy of the newspaper ad you ran for two consecutive weeks in a newspaper of general circulation in the county where the vehicle was obtained. Examples available. '
$10.00 $ 5.00
$15.00
si.
Court
AMV
March 2010
List of Documents Required for Tow Cases With Known Owner Please put documents in the following order. Keep copies of all documents mailed or submitted to the court. We only need originals of the Order and Affidavit. All other documents may be copies.
1. Order. Complete the top portion of the sample order provided in the packet
2.
3. Authorization to Tow:
a. Law Enforcement Tow Ticket; b. Written authorization from the private property owner; or c. Plaintiff's business record that provides, the date of tow, thf location the vehicle was towed from, the name (and badge no. if a law rnforcement officer), title and employer of the person who authorized the tow.
I
4.
NCIC Report. Obtain this document from Central Records. and address of each owner and lienholder.
5.
7 Day Letter. - A demand letter mailed to all owners and lienhold~rs within 7 days of tow informing them the vehicle will be deemed abandoned unless Iretrieved within 30 days of tow. Examples are available.
MV-603. Obtain from MVD, complete and file it at the MVD. If thJ vehicle is
registered in another state provide a copy of the form used to request the names and addresses of owners and lienholders in that other state.
I
8. MVDVehicle Title & Tag Information Report. (Or similar report from another state
if the vehicle is registered out of state.) This report will provide yo~ with the registered owner(s) & lien holder(s) mailing information.
9. MVDform letters. (Or identical letters produced by you if the vehicle is registered in
another state.) Fill out completely, including the list of fees and "DeKalb" as the Magistrate Court where the owner may request a hearing.
1O. Proof of Mailing and delivery of the MVD form letter. (A copy 0f the returned
envelope or green card is the most cornrnon.)
DeKalb County Magistrate Court Administrative Tower, Ropm 230 556 N. McDonough St., D1ecatur, GA 30030 404-371-2261
AMV