Mv2117 Form PDF Details

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QuestionAnswer
Form NameMv2117 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other nameslienholders, Wisconsin, wisconsin mv2117 form, wisconsin mv 2117 form

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REPOSSESSION APPLICATION

MV2117 1/2008 s.409.105(H) Wis. Stats.

Title No. - New License Plate No.

Amount Received, Document Number

Check Cash

 

SUBMIT TO:

 

Wisconsin Department of Transportation

Fee $69.50

P.O. Box 7949, Madison, WI 53707-7949

A

Instructions: The Secured Party name and address listed on this form must match DMV records.

Vehicle Identification Number

Make

Vehicle Year

Body Style

SECURED PARTY - Secured Party Number, Name, and Address - Please Print

REPOSSESSED FROM - Name and Address - Please Print

Social Security # or Driver License # or (if company owned) FEIN #

Area Code - Telephone #

Special Mailing -Name and Address - Please Print

 

 

 

 

between 7:30 a.m. and 5 p.m.

 

 

 

 

 

 

 

 

 

 

 

 

 

Date Repossessed

Security Agreement Date

Repossessed in State OF:

Notice of Sale given to subordinate lienholders

I (we) certify that the above described vehicle was repossessed in the state of and under security agreement as indicated above in compliance with the provisions of the Wisconsin Uniform Commercial Code, s.342.18(2) and 342.19(5), Wisconsin Statutes, and the Wisconsin Consumer Act as amended when applicable. (See s.425.201 through 425.210).

I (we) further certify that this vehicle has been sold in compliance with said security agreement, the Wisconsin Uniform Commercial Code and the Wisconsin Consumer Act when applicable to:

BUYER - Name and Address - Please Print

If buyer/dealer at sale is other than repossessor, the buyer/ dealer must complete and submit form MV1, Application for Title/Registration, with this document.

ODOMETER MILEAGE STATEMENT

Federal and State law require that you state the mileage in connection with the transfer of ownership. Failure to complete a mileage

 

statement or providing a false statement may result in fines and/or imprisonment and may make you liable for damages to your

 

transferee (buyer).

I, the repossessor, certify that to the best of my knowledge the information contained on this document is true and correct and that the

ODOMETER NOW READS

and to the best of my knowledge is actual mileage of this vehicle unless one of the following

(No Tenths):

statements is checked.

.

The odometer reading reflects the amount of mileage in excess of its mechanical limits.

The odometer reading is NOT the actual mileage - WARNING ODOMETER DISCREPANCY.

NOTE - Please provide the current odometer reading above and indicate, to the best of your knowledge, whether the odometer reading is actual, not actual or exceeds mechanical limits. Repossessor sign below on repossessor signature line.

BRAND DISCLOSURE STATEMENT will be printed on future titles. Check all that apply.

Flood Damaged

Previous Taxicab

Hail Damaged

Previous Police Vehicle

Salvage Vehicle

(Print Name of Buyer Signing Below)(Print Name of Repossessor Signing Below)

X

 

 

X

 

(Signature of Buyer)

(Date)

 

(Signature of Repossessor or Authorized Agent)

(Date)

Complete section "B" on reverse side when vehicle has been

Complete section "C" on reverse side when vehicle

repossessed by someone other than secured party shown above.

has been repossessed outside Wisconsin.

REPOSSESSOR STATEMENT

pursuant to s.421.201(5) Wis. Stats.

B Repossessor (If different from that shown in section "A")

Name - Print

Residence - County

State

C Repossession (If vehicle repossessed outside Wisconsin)

Repossessed in State of

Per Laws of State of

Vehicle Location

Number of Days at Location Indicated

I certify that:

1.As repossessor I was employed by the identified secured party in section "A";

2.The person identified as "Repossessed From", section "A", who is incorporated by reference, was a resident of Wisconsin at the time of execution of the security agreement and removed the above identified vehicle from Wisconsin for a period in excess of 15 days;

3.The information on this statement is true and correct to the best of my knowledge;

4.This statement is in support of a request for retitling the vehicle identified on reverse side.

X

(Repossessor/Authorized Agent Signature)

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With regards to the blanks of this precise PDF, here is what you need to know:

1. It is advisable to fill out the DMV properly, therefore be mindful when working with the segments including these specific blank fields:

The way to fill in mv2117 form portion 1

2. Soon after this selection of blank fields is filled out, go to type in the suitable information in all these: I the repossessor certify that to, and to the best of my knowledge is, The odometer reading reflects the, The odometer reading is NOT the, NOTE Please provide the current, BRAND DISCLOSURE STATEMENT will be, Flood Damaged, Previous Taxicab, Hail Damaged, Salvage Vehicle, Previous Police Vehicle, Print Name of Buyer Signing Below, Print Name of Repossessor Signing, Signature of Buyer, and Date.

Part # 2 in completing mv2117 form

Always be really careful when completing Print Name of Buyer Signing Below and Hail Damaged, as this is where most users make a few mistakes.

3. In this stage, take a look at Repossessor If different from that, Name Print, Residence County, State, Repossession If vehicle, Repossessed in State of, Per Laws of State of, Vehicle Location, Number of Days at Location, I certify that, As repossessor I was employed by, and RepossessorAuthorized Agent. These have to be completed with greatest accuracy.

Step no. 3 in submitting mv2117 form

Step 3: Ensure that your details are accurate and press "Done" to complete the task. Get hold of your DMV when you subscribe to a 7-day free trial. Immediately use the pdf form from your FormsPal account page, with any modifications and adjustments being conveniently synced! We don't share the details you use when filling out documents at FormsPal.