Mv 603A Form – Fill Out and Use This PDF

MV-603A (Rev. 06-2005)

State of Georgia

County of__________________________

ABANDONED VEHICLE AFFIDAVIT

I, ____________________________________________________, do hereby solemnly swear or affirm that the vehicle

(Owner/Representative of Towing Company)

described as: _________________________________________________________________________________ that

(Vehicle Identification Number) (Vehicle Year)(Make)(Model)

was removed to and/or has been stored at: _________________________________________________________

(Location)

is an abandoned vehicle as defined in OCGA §40-11-1 (1), and has not been claimed by the owner, lessor, lessee or any holder of a security interest or lien.

I hereby 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 OCGA §40-11-2 as evidenced by the following:

1.Within three (3) days of the removal or storage of said vehicle, I obtained the identity and address of all known owners of such vehicle from the law enforcement officer requesting removal of the vehicle or from a local law enforcement agency for the jurisdiction in which my business is located as evidenced by document(s) attached hereto and incorporated herein as “Exhibit A”; and,

2.Using the information contained in Exhibit A, I notified or attempted to notify the owner, lessor, lessee, or any holder of a lien or security interest of said vehicle that said vehicle would be deemed abandoned at the expiration of thirty-days (30) as evidenced by the document(s) attached hereto and incorporated herein as “Exhibit B”; and,

3.On or after the thirty-first day following the removal or storage of said vehicle without said vehicle having been redeemed, I gave notice in writing to the Department of Revenue or applicable County Tag Agent (hereinafter referred to as the “Department”) pursuant to the procedure set forth in OCGA §40-11-2 (e) 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 C”; and,

4.Within five (5) calendar days of having received the information requested in Exhibit C, I either:

A.Notified the owner, any lessee, and any holder of a lien or security interest by certified mail and first class mail; or,

B.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; or,

C.Placed an advertisement at the county courthouse in such place where other public notices are posted for two (2) consecutive weeks;

5.Advised the owner(s) of their obligations and rights to redeem such vehicle and such owner, lessee or holder of a lien or security interest disclaimed their ownership or interest in such vehicle as evidenced by the document(s) attached hereto and incorporated herein as “Exhibit D”; and,

6.I have made a demand for payment of $______________, which has been made without satisfaction, as evidenced by the document(s) attached hereto and incorporated herein as “Exhibit E”, without a timely filing of a petition for a judicial hearing and/or the identity of the owner cannot be ascertained.

Therefore, I am asking a court of competent jurisdiction to authorize the foreclosure of my lien and the sale of this motor vehicle.

________________________________________________________	______________________________________________
(Signature of Owner/Representative of Towing Company)	(Date)

__________________________________________________	Sworn and Subscribed before me this: __________
(Address of Towing Company)		(Day)
________________________________________________________	Day of _____________________, 20________________
(City, State, Zip & County)	(Month)	(Year)
________________________________________________________	______________________________________________
(Telephone Number Including Area Code)	(Notary Public’s Signature & Notary Seal or Stamp)

_________________________________________

(Date My Notary Commission Expires)