Reg 119 – Fill Out and Use This PDF

In Section 1, enter the vehicle license plate or vessel CF number, the vehicle or hull identification number (VIN/HIN), the year model and the make of the vehicle or vessel builder.

In Section 2, enter the legal owner (the name of the bank, finance company, etc., or individual having a lien on the vehicle or vessel) and the address (include suffix [e.g., Ave., St., etc.] and any unit no. [indicate Ste., etc.]), city, state and ZIP code.

Check the box for the lien/instrument type under which the default occurred, conditional sale contract or security interest agreement, and enter the date the contract/agreement was signed/executed.

Enter the date of repossession and check the method of repossession: 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, or other (explain).

Check the reason(s) for repossession: failure to pay or other (explain).

Enter the address, city, state and ZIP code where possession of the vehicle or vessel was taken, the name of the defaulting debtor(s) it was repossessed from, and the address, city, state and ZIP code of the defaulting debtor.

Check what the vehicle or vessel was: delivered to auto auction for sale, sold through auto auction, sold at public sale, sold at private sale, leased/licensed or retained.

Enter the sale or lease date as the disposition date; if delivered to auto auction for sale, enter the delivery date.

Enter the buyer or lessee; if delivered to auto auction for sale, enter the name of the auto auction; if sold through auto auction, enter the buyer's name. Also enter the auto auction dealer no. and the address, city, state and ZIP code.

In Section 3, certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct. 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.

For a conditional sale contract (California Civil Code [Civil Code]), 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 the 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.

For a security interest agreement (California Commercial Code [Com. Code]), certify that, in proper form and content, a written notice of intent to sell/dispose the 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.

Enter the printed name of the authorized agent signing for the company, the title of the authorized agent signing for the company, the daytime telephone number and the date.

The signature of the legal owner is the company name and the authorized agent's countersignature.

When a currently registered nonresident vehicle is repossessed in California, a completed Certificate of Repossession Security Interest/Conditional Sales Contract (REG 119) form must be submitted in addition to the usual nonresident registration requirements.⁠^[2]