Mva Form Cs 019 – Fill Out and Use This PDF

CS-019 (04-17)

6601 Ritchie Highway, N.E., Glen Burnie, Maryland 21062

Notice of Exclusive or Modification of Implied Warranty

Important Notice To Buyer

Under Maryland law, consumers are entitled to an implied warranty, which means that the dealer may be responsible for making

repairs to defective vehicle equipment that presently exists or may occur in the future. If a motor vehicle is over 6 model years old and has been driven more than 60,000 miles, this implied warranty may be waived or modified if the purchaser is in agreement.

Your right to this protection is waived upon signing this form

Please contact the Motor Vehicle Administration, Consumer Services Section at 410-787-2950. If you do not fully understand what you are signing.

Dealer Certification

As provided in Commercial Law Article 2-316.1(4), this gives notice that all warranties, including the implied warranty of merchant- ability and fitness for a particular purpose intended, covering the vehicle identified below, are excluded or modified as follows:

Please check one:

q Vehicle Sold As Is q 30-Day Warranty - Dealer Pays 50%

q Other (explain) ____________________________________________________________________________________________________________________

I certify the above exclusion or modification of the implied warranty has been fully explained to the purchaser and this vehicle has been inspected as required by law. I further certify, under penalty of perjury, that the statements made herein are true and correct to the best of my knowledge.

Name of Authorized Dealer Representative (please print or type)

Signature of Authorized Dealer Representative	Date
Dealer Name	Dealer No.
Address of Dealer
	Purchaser Certification

This is to certify that I understand and agree to the terms above and that I have agreed to purchase the herein described vehicle without the protection of the Implied Warranty provisions of Commercial Law 2-316-1. I further certify that I have received a copy of this notice.

Name of Purchaser (please print or type)

Signature of Purchaser (agent or power of attorney signature not accepted)

Address of Purchaser

Date

For more information visit our website at www.mva.maryland.gov or call 410-768-7000.

TTY for the hearing impaired: 1-800-492-4575.