Arizona Repossession Affidavit PDF Details

In Arizona, when a vehicle is repossessed due to the owner's failure to meet the terms of their lien, the party taking possession must complete an Arizona Repossession Affidavit form. This document, crucial for the legality of the repossession process, serves several key purposes. It not only formalizes the repossession by the legal owner and lienholder but also helps in transferring ownership of the vehicle, if that is the outcome desired. The form covers essential details like the vehicle identification number, the year of manufacture, make of the vehicle, and the names of the registered owners. It requires the lienholder to declare that they are the rightful owner, have repossessed the vehicle legally, and that the vehicle is physically within Arizona's bounds. Significantly, it protects the State of Arizona from liability related to the repossession. The form also doubles as a bill of sale, enabling the vehicle's sale to a new buyer, capturing the sale date, buyer and seller information, and crucially, the odometer reading to comply with federal and state regulations. Misrepresentation of the mileage can result in severe penalties, highlighting the importance of accuracy in completing this affidavit. The inclusion of a section for the new lienholder (if applicable) ensures that all pertinent information is captured in a single document, streamlining the repossession and sale process in Arizona.

QuestionAnswer
Form NameArizona Repossession Affidavit
Form Length1 pages
Fillable?Yes
Fillable fields28
Avg. time to fill out5 min 55 sec
Other namesarizona affidavit of repossession, az repossession, i repossession affidavit, arizona repossession affidavit

Form Preview Example

REPOSSESSION AFFIDAVIT

Vehicle Division

48-0902 R08/22

www.azdot.gov

 

 

 

 

 

 

 

Vehicle Identification Number

Year

Make

 

 

 

 

I

 

Registered Owner Names (printed)

Repossession Date

Title State

 

 

 

 

I

I certify that I am the legal owner and a lienholder of record for the vehicle described above, that the vehicle is physically located in Arizona and that I repossessed the vehicle upon default pursuant to the terms of the lien and all applicable laws and regulations, and that the State of Arizona, its agencies, employees and agents shall not be held liable for relying on the contents of this affidavit.

Lienholder Company Name

 

 

 

 

 

 

 

Lienholder Agent Name

Lienholder Signature

 

 

 

I

 

 

BILL OF SALE

 

 

 

I hereby sell to the Buyer, the vehicle described above.

 

 

 

 

 

 

 

Buyer Name

 

Sale Date

 

 

 

 

Street Address

City

State

Zip

 

I

 

I

Name of New Lienholder (if no lien, write NONE)

 

Lien Date

 

 

 

 

Federal and State law require that the seller states the mileage in connection with the transfer of ownership. Failure to complete the odometer statement, or providing a false statement, may result in fines and/or imprisonment.

Odometer Reading (no tenths)

miles kilometers

Mileage in excess of the odometer mechanical limits.

NOT Actual Mileage, WARNING – ODOMETER DISCREPANCY.

I certify to the best of my knowledge that the odometer reading is the actual mileage unless one of the boxes above is checked.

Seller Name (printed)

Seller Signature

Date

Street Address

City

State Zip

I am aware of the above odometer certification made by the seller.

Buyer Name (printed)

Buyer Signature

Date

— Sequential Bills Of Sale Will Not Be Accepted —

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Fill out the Federal and State law require that, Odometer Reading no tenths, miles kilometers, Mileage in excess of the odometer, I certify to the best of my, Seller Name printed, Seller Signature, Street Address, City, Date, State, Zip, I am aware of the above odometer, Buyer Name printed, and Buyer Signature fields with any information that may be demanded by the application.

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