MV-603RF (Rev. 01-18-2007)
Abandoned Vehicle Affidavit
From Repair Facility Storing Vehicle
State of Georgia
Name of County
I, (Name of Owner/Representative of Repair Facility),
a duly authorized representative of (Record Name of Repair Facility Here),
do hereby solemnly swear or affirm that the vehicle described as:
Vehicle Year & Make
Model Name or Number
Vehicle Identification Number
was removed to and/or has been stored at the following location (Record Location Here):
Said vehicle is now an abandoned vehicle as defined in §40-11-1, paragraph (1), of the OCGA and has not been claimed by the owner, lessor,
lessee or any holder of a lien or security interest.
I further solemnly swear or affirm that in following the procedure to foreclose on an abandoned vehicle lien on said vehicle, I have complied with
the requirements of §40-11-2 of the OCGA as evidenced by the following:
This vehicle was being repaired by a repair facility as provided in §40-11-2, paragraph (e), of the OCGA, but has become abandoned.
Within seven (7) calendar days of the day such vehicle became an abandoned motor vehicle, I/we gave notice in writing to the Georgia
Department of Revenue pursuant to the procedure set forth in §40-11-2, paragraph (e) of the OCGA and requested the name and
address of all owners of such vehicle as evidenced by the document(s) attached hereto and incorporated herein as ‘Exhibit A’.
Within five (5) calendar days of having received the information requested, I/we either:
registered mail or statutory overnight delivery;
or, the certified mail was returned undeliverable; or,
Placed an advertisement in a newspaper of general circulation in the county where such vehicle was obtained once a week for two
(2) consecutive weeks because the owner could not be ascertained; or,
posted for two (2) consecutive weeks because there is no newspaper in such county.
hereto and incorporated herein by reference or has failed to redeem such vehicle.
Signature of Owner/Representative of Co Storing Vehicle
Address of Company Storing Vehicle
Sworn and subscribed before me this _____________ day of
City, State & Zip
Notary Public’s Signature & Notary Seal or Stamp
Telephone Number Including Area Code
Date Notary Commission Expires
Print this form!