Reg 119 – Fill Out and Use This PDF

Reg 119 is a tax exemption for real property that's donated to the government. It was implemented in 2002 and can be found in section 119 of the Income Tax Act.

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Reg 119 PDF Details

reg 119 form is a document that many businesses must complete in order to file their taxes properly. The form is long and detailed, but it's important to make sure all the information is accurate. Missing or incorrect information can lead to penalties from the IRS. Fortunately, there are many professionals who can help you complete the form correctly. Make sure to choose someone who knows what they're doing so you can avoid any headaches down the road.

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Question	Answer
Form Name	Reg 119
Form Length	1 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	15 sec
Other names	ca reg 119, ca repo cert, vehicle repossession forms, dmv repo certificate

12

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CERTIFICATE OF REPOSSESSION

A Public Service Agency

If legal owner is not shown on DMV records, the original or a certified copy of the conditional sale contract or security interest agreement must accompany this certification.

SECTION 1 — VEHICLE/VESSEL INFORMATION

VEHICLE LICENSE PLATE OR VESSEL CF NUMBER

VEHICLE OR HULL IDENTIFICATION NUMBER (VIN/HIN)

YEAR MODEL

MAKE OF VEHICLE OR VESSEL BUILDER

SECTION 2 — REPOSSESSION INFORMATION

LEGAL OWNER (NAME OF BANK, FINANCE COMPANY, ETC., OR INDIVIDUAL HAVING A LIEN ON THIS VEHICLE OR VESSEL)

ADDRESS (INCLUDE SUFFIX [E.G., AVE., ST., ETC.] AND ANY UNIT NO. [INDICATE STE., ETC.])						CITY			STATE		ZIP CODE

LIEN/INSTRUMENT TYPE UNDER WHICH THE DEFAULT OCCURRED (CHECK BOX)								DATE CONTRACT/AGREEMENT SIGNED/EXECUTED
CONDITIONAL SALE CONTRACT			SECURITY INTEREST AGREEMENT
DATE OF REPOSSESSION	METHOD OF REPOSSESSION (CHECK BOX)
	REPOSSESSION BY LICENSED REPOSSESSION AGENCY (B&PC §7500.2)								VOLUNTARY SURRENDER BY DEBTOR
	REPOSSESSION BY LEGAL OWNER OR A BONA FIDE EMPLOYEE OF THE LEGAL OWNER
	OTHER (EXPLAIN):
REASON(S) FOR REPOSSESSION (CHECK BOX)
FAILURE TO PAY	OTHER (EXPLAIN):
POSSESSION OF THE VEHICLE OR VESSEL TAKEN AT (ADDRESS)						CITY			STATE		ZIP CODE

REPOSSESSED FROM DEFAULTING DEBTOR(S) (NAME)

ADDRESS OF DEFAULTING DEBTOR						CITY			STATE		ZIP CODE

VEHICLE OR VESSEL WAS (CHECK BOX)										DISPOSITION DATE*
DELIVERED TO AUTO AUCTION FOR SALE				SOLD THROUGH AUTO AUCTION
SOLD AT PUBLIC SALE		SOLD AT PRIVATE SALE			LEASED/LICENSED		RETAINED
NAME OF AUTO AUCTION, BUYER, OR LESSEE**										AUTOAUCTION DEALER NO.

ADDRESS						CITY			STATE		ZIP CODE

*ENTER SALE OR LEASE DATE; IF DELIVERED TO AUTO AUCTION FOR SALE, ENTER DELIVERY DATE.

**ENTER BUYER OR LESSEE; IF DELIVERED TO AUTO AUCTION FOR SALE, ENTER NAME OF AUTO AUCTION; IF SOLD THROUGH AUTO AUCTION, ENTER BUYER’S NAME.

SECTION 3 — CERTIFICATION

I certify that I, or the firm, company, or corporation I am authorized to represent, am the legal owner within the meaning of California Vehicle Code §§370, 9840 of the above described vehicle (including trailer) or vessel. In good faith and in a commercially reasonable manner, the vehicle or vessel was lawfully repossessed, taken into the legal owner’s possession and disposed of, after default under the terms of a valid lien contract/ agreement, and in full accordance with all applicable California statutes.

CONDITIONAL SALE CONTRACT (California Civil Code [Civil Code]) – I further certify that, except for a vehicle seized as described in Civil Code §2983.3 (b) (6), at least fifteen (15) days (twenty [20] days if place of deposit in the mail or place of address is outside California) written notice of intent to sell/dispose this repossessed or surrendered vehicle or vessel, in proper form and content, was given by personal service or by mail at the last known address to all persons liable under the contract as required by Civil Code §2983.2, and that the debtor/obligor has not cured or was unable to cure (Civil Code §2983.3) the default which led to the repossession.

SECURITY INTEREST AGREEMENT (California Commercial Code [Com. Code]) – I further certify that, in proper form and content, a written notice of intent to sell/dispose this repossessed vehicle or vessel was sent to, or notification waiver agreement (Com. Code §9624) obtained from, all persons liable under the security agreement as required by and in the reasonable timeliness stated in Com. Code §§9611-9614, and that neither the debtor nor any other secured party exercised the right to redemption given in Com. Code §9623 prior to the sale.

I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct. I further certify (or declare) under penalty of perjury that the repossession was conducted in accordance with the requirements of California Military and Veterans Code §§407, 408, 409.1, and 409.3, and with the requirements of §§3952, 3953, and 3958 of Title 50 of the United States Code.

PRINTED NAME OF AUTHORIZED AGENT SIGNING FOR COMPANY			TITLE OF AUTHORIZED AGENT SIGNING FOR COMPANY			DAYTIME TELEPHONE NUMBER
						(	)
SIGNATURE OF LEGAL OWNER (COMPANY NAME AND AUTHORIZED AGENT’S COUNTERSIGNATURE)						DATE
X

NOTE: Odometer disclosure for vehicle is required on Certificate of Title or separate odometer statement.
REG 119 (REV. 1/2019) WWW
REG 119 (REV. 1/2019) WWW

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california repo certificate spaces to complete

You need to fill up the ADDRESS, CITY, STATE, ZIP CODE, ENTER SALE OR LEASE DATE IF, ENTER BUYER OR LESSEE IF DELIVERED, SECTION CERTIFICATION, I certify that I or the firm, CONDITIONAL SALE CONTRACT, SECURITY INTEREST AGREEMENT, I certify or declare under penalty, TITLE OF AUTHORIZED AGENT SIGNING, DAYTIME TELEPHONE NUMBER, SIGNATURE OF LEGAL OWNER COMPANY, and DATE area with the appropriate particulars.

Filling in california repo certificate part 2

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