Amv Report Of Vehicle Sale

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IN THE MAGISTRATE COURT OF DEKALB COUNTY
STATE OF GEORGIA
AMV Report of Vehicle Sale
File No.: __________________
____________________________________
*
________________________________
Plaintiff/Lien Claimant
*
Defendant (owner)
*
_____________________________________
*
_______________________________
Address
*
Address
*
_____________________________________
*
________________________________
City
State
Zip
City
State
Zip
*
*
Abandoned Motor Vehicle:
______________________________________________________________
(color, year, make & model)
______________________________________________________________
VIN number
Lien Holder(s): ____________________________________________________________________________
(Name & address)
Comes now ___________________________________________________, herein, who after having been duly sworn or
affirmed states that the following facts are true and correct to the best of his/her knowledge and files this report pursuant to
O.C.G.A.40-11-6 (b):
1.
The vehicle was sold at public auction on
, at
, said address being within:
[ ] the city limits of _____________________________;
[ ] In the unincorporated County of ______________________________.
2.
[ ] The sale was conducted in compliance with the provisions of O.C.G.A. § 40-11-6 and 11-1-201.
If the sale was not conducted by public auction as required by O.C.G.A. § 40-11-6 and 11-1-201, please
provide an affidavit addressing how and when the sale occurred
3.
The vehicle was impounded at the request of a:
[ ] private individual, not a peace officer.
[ ] municipal police officer of : ___________________________
(Name of city)
[ ] county police officer, deputy sheriff or sheriff of _______________ (County)
[ ] Georgia State Patrol officer or other employee of the State of Georgia
4.
The amount received for the vehicle at public sale:
$
__________
5.
The amount of the lien in the Lien Foreclosure Order:
$ ___________
6.
The amount due to Clerk of Court and submitted herewith
(No. 4 minus No. 5)
$
___________
7.
A true, complete and correct copy of the Form T-7 bill of sale of the vehicle is attached hereto.
8.
A true and correct copy of the Order Foreclosing the lien on this vehicle is attached hereto.
Sworn to and subscribed before me this
_____________________________________
_________ day of ________________ 20_____
[ ] Plaintiff
[ ] Agent for Plaintiff
____________________________________
______________________________________
(Print or Stamp Name and Title)
Notary Public/Clerk of Court
My Commission Expires:
______________________
DeKalb County Magistrate Court
AMV
Report of Sale Affidavit – with Money
May 2015

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