Free Illinois Affidavit Of Repossession PDF Download

Secretary of State This space for use by Affidavit of Repossession Secretary of State (625 ILCS 5/3-114(f-5)(3)) Secretary of State Vehicle Services Department Commercial Vehicle 501 S. Second St. Off Springfield, IL 62756 Non-Commercial Vehicle Off 217-782-6306 www.cyberdriveillinois.com Repossessed from Owner (Borrower) Name: ____________________________________________________________________________ Address ________________________________________________________________________________________________ City/State______________________________________________________________________ ZIP Code ____________________ Creditor (Lienholder) Name: ________________________________________________________________________________________ Address ________________________________________________________________________________________________ City/State______________________________________________________________________ ZIP Code ____________________ Purchaser(s) Name: ______________________________________________________________________________________________ Address ________________________________________________________________________________________________ City/State______________________________________________________________________ ZIP Code ____________________ The owner’s vehicle was lawfully repossessed by the lienholder for default under the terms of the owner’s loan/security agreement with the lienholder. The lienholder lawfully terminated the owner’s interest in the vehicle pursuant to the terms of the loan/security agreement. The lienholder delivered or mailed to the owner at the owner’s last known address and any other lienholder of record the Notice of Redemption required under the Illinois Vehicle Code (625 ILCS 5/3-114(f-5)(1)), and the sale of the vehicle occurred after the expiration of 21 days from the date of mailing or delivery of the Notice. If the owner’s vehicle was a non-commercial vehicle, the lienholder also delivered or mailed to the owner at the owner's last known address the Affidavit of Defense required under the Illinois Vehicle Code (625 ILCS 5/3-114(f5)(2)), and no response was received from the owner within 21 days after mailing or delivery. Owner’s Vehicle (Collateral): Year __________ Make _______________________________Model _____________________________ VIN ____________________________________________________________ Title # ______________________________________ Date of Repossession: ________________________________________ Vehicle repossessed is not damaged in excess of 33 1/3%. Off Date of Mailing or Delivery of Notice of Redemption: _________________ Vehicle repossessed is damaged in excess of 33 1/3% of its fair market Off value. Date of Sale of Vehicle to Purchaser: _____________________________ Check if Certificate of Title is lost and no third party is involved in the transaction. Off Under penalties of perjury, the undersigned lienholder states that the above requirements have been complied with and the undersigned lienholder will assume all liability and costs for any litigation that may arise from the issuance of a Certificate of Title. Notary: Lienholder: By __________________________________________________ Subscribed and sworn to before me this ___________________ Signature of Lienholder’s Authorized Representative day of ____________________________________ , _________ . ____________________________________________________ Date Notary Public My Commission Expires: _________________________________ (Seal) Printed by authority of the State of Illinois. June 2005 — 10M — VSD 609.3