Petition And Affidavit For Discarded Or Abandoned Vehicles Property Mobile Home Page 2
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1
2
3
4$______Repairs
and/or
$_______
Storage.
Towing/repairs
were
ordered
by
___________________________________ (name of person).
a) On ___________ (date), I sent a Report of Unclaimed Vehicle to the South Carolina Department of
Public Safety concerning this vehicle.
b) On or about ________ (date), the South Carolina Department of Public Safety sent a letter to me
stating that the vehicle was registered to ____________________ and that there was a lien
(Yes/No) with the lienholder listed as ______________________. Copy attached.
c) I sent a Certified, Return Receipt Letter to _____________ (titleholder and person ordering
towing/repairs if different from titleholder) on ____________________ (date), which was received
by the addressee, 30 days has passed, and no effort has been made to claim the vehicle. (Yes/No).
The letter was returned unclaimed (Yes/No). Copy attached.
d) The lienholder was notified, Certified, Return Receipt Letter on _____________________ (date), and
the letter was received by the addressee (Yes/No). Lienholder’s letter was returned unclaimed
(Yes/No). Mailing date of letter is: ____________. Copy attached.
e) Owner/Lienholder information has been received from _________________________State
Agency. A copy is attached.
f) No Ownership/Lienholder information was available after reasonable search, or the certified return
receipt letter(s) to the Owner and/or Lienholder was returned unclaimed and Notice of Vehicle Sale
was published on ____________ in ____________________________ (newspaper). Copy
attached.
3. STOLEN VEHICLES:
On ____________________ (date), the Plaintiff received a ___________________________ (vehicle
VIN and description) for repairs or towing, which was stolen and as of _____________________ (current
date) an amount of __________________ is owed on the vehicle herein. This total represents: $_______
Towing,
$______Repairs
and/or
$_______
Storage.
Towing/repairs
were
ordered
by
______________________________ (name of person).
a)
Highway Patrol/Sheriff/Municipal Police (circle one) called to tow a vehicle from the public
roadway/public property/private property (circle one) and as a result determined that the vehicle
was stolen.
b)
I reported the vehicle to be in my possession on ___________________date to
________________ (agency).
c) I received information from Law Enforcement on ownership and lienholders on ______________
(date). Copy attached.
d) I have sent a Certified, Return Receipt Letter to _____________ (titleholder) on __________ (date)
and to ______________________________ (lienholder) on _________________ (date). The same
was received by addressee(s), 30 days has passed, and no effort has been made to claim the vehicle.
(Yes/No). The letter was returned unclaimed (Yes/No). Copy attached.
e) No Ownership/Lienholder information was available after reasonable search, or the certified return
receipt letter(s) to the Owner and/or Lienholder was returned unclaimed and Notice of Vehicle Sale
was published on ____________ in ____________________________ (newspaper). Copy
attached.
SCCA/269 (06/2007)
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