Affidavit Of Repossession Ga Details

The T 16 form is one of the most important documents you will ever fill out in your life. It allows you to declare your taxes and income, as well as calculate how much money you owe Uncle Sam. The best way to ensure a smooth process when filing your T 16 is to know what goes into it and what to expect. This blog post will outline everything you need to know about the T 16 form so that you can complete it with confidence.

You will find details about the type of form you would like to fill out in the table. It can show you just how long it takes to finish t 16 form, what parts you will have to fill in and some other specific details.

QuestionAnswer
Form NameT 16 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namest 16 form, ga repossession, ga t 16 form, ga t16

Form Preview Example

T-16 (Revised 10-2017)

Web and MV Manual

Georgia Department of Revenue - Motor Vehicle Division

Affidavit of Repossession

ANY CORRECTION OR ALTERATION WILL VOID THIS AFFIDAVIT

Purpose of this Affidavit: This affidavit is to be used by a repossessor to certify that a motor vehicle has been repossessed because of the vehicle owner(s)’ failure to meet his/her obligation for settlement of a lien or security interest on said vehicle.

How to submit this Affidavit: This affidavit must be completed in its entirety, legibly printed or typed, and submitted along with all required document(s) to the county tag office in the county where you reside. Please refer to http://dor.georgia.gov to locate the county tag office in your county of residence.

Required document(s): Current Georgia title

Fee: $18.00 Title Fee, any penalty fee and Title Ad Valorem Tax (TAVT), if applicable.

 

A

 

 

OWNER INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Primary Owner’s

First Name

Middle Initial

Last Name

Suffix

 

 

 

 

 

 

 

 

Full Legal Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street No.

Street Name

 

Apt./Suite No.

 

 

Mailing Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

 

 

 

 

 

 

 

 

 

 

 

State:

 

 

 

ZIP Code:

 

 

 

 

 

 

 

Telephone No.:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Secondary Owner’s

 

First Name

 

 

 

 

 

 

Middle Initial

 

 

 

 

 

 

Last Name

 

 

Suffix

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Full Legal Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street No.

Street Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Apt./Suite No.

 

 

 

Mailing Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

 

 

 

 

 

 

 

 

 

 

 

State:

 

 

 

ZIP Code:

 

 

 

 

 

 

 

Telephone No.:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B

 

 

LIENHOLDER OR SECURITY INTEREST HOLDER INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Lienholder’s or Security

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date of Repossession:

/

 

/

 

 

Interest Holder’s Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street No.

Street Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Apt./Suite No.

 

 

 

Mailing Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

 

 

 

 

 

 

 

 

 

 

 

State:

 

 

 

 

ZIP Code:

 

 

 

 

 

 

 

Telephone No.:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C

 

 

VEHICLE INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle Identification No. (VIN):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Make:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Model:

 

 

 

 

 

 

 

Year:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current Title No.:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

D

 

 

CERTIFICATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I hereby certify that the information shown on this affidavit is complete and correct. I also certify that all holders of unsatisfied liens and/or security interests recorded against this vehicle on the records of the Georgia Department of Revenue, Motor Vehicle Division, have been duly notified to protect any interests they have in the vehicle.

 

Authorized

 

 

 

 

 

 

 

 

 

Position/Job Title:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Agent’s Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Authorized

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date:

/

/

 

 

 

Agent’s Signature:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E

 

 

NOTARY PUBLIC ACKNOWLEDGMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Month

 

 

 

 

 

 

Year

 

 

 

 

 

 

 

 

Sworn to and subscribed before me this

 

day of

 

 

 

 

,

 

 

 

 

 

 

Notary Seal or Stamp

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Notary Public’s

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Full Legal Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Physical Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Telephone No.:

 

 

 

 

 

 

 

 

 

 

 

Email Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of

 

 

 

 

Commission Expires:

 

/

/

 

 

 

 

 

 

 

Notary Public:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Have a question? Visit our website at http://dor.georgia.gov/motor-vehicles or scan the QR code above for more information.

INSTRUCTIONS

How to complete the T-16 Form

COMPLETING THIS AFFIDAVIT

This affidavit must be completed in its entirety, legibly printed in blue or black ink or typed. Any correction or alteration will void this affidavit. Section A: Complete the owner(s)’ information. The mailing address block should contain the physical address of the owner(s).

Section B: Record the Lienholder or Security Interest Holder information.

Section C: Record the vehicle’s information.

Section D: Certify before a Notary Public that all statements are true and accurate.

REQUIRED DOCUMENT(S)

The following document is required:

 

Current Georgia title

 

 

 

 

 

 

 

 

 

WHAT TO DO IF THE…

 

 

 

 

 

 

 

 

 

Georgia title is not available:

The repossessor must obtain a Georgia title in their name first, unless the vehicle is “exempt” from the

 

 

 

odometer disclosure requirements of the Federal Truth in Mileage Act.

 

 

 

Important: If the vehicle is “exempt” from the odometer disclosure requirements but is still required to be

 

 

 

titled in Georgia, the repossessor is not required to obtain a title in their name. In this situation, the

 

 

 

repossessor may give the purchaser(s) a bill of sale and a completed and signed Affidavit for Repossession

 

 

 

(Form T-16). This exception only applies when there is a Georgia title on record.

 

 

 

 

 

 

 

Georgia title is not issued in the person’s

The title must be submitted properly assigned to that person.

 

 

name from whom the vehicle was

 

 

 

 

repossessed:

 

 

 

 

 

 

 

 

 

Current title is an out-of-state title:

The title must be submitted or the repossessor must secure a title in their name first from the state where

 

 

 

the vehicle is currently titled.

 

 

 

 

 

 

 

Repossessor is not recorded on the face of

A copy of the contract between the repossessor and the party from whom the vehicle was repossessed

 

 

the title or in the title assignment as the

must be submitted.

 

 

lienholder or security interest holder:

 

 

 

 

 

 

 

 

 

Repossessor has sold the vehicle:

The repossessor should complete the first title assignment transferring the ownership of the vehicle to the

 

 

 

purchasing parties using the purchaser(s)’ full legal name(s). A natural person’s full legal name is his or her

 

 

 

complete name as it appears on his or her valid Georgia driver’s license or Georgia identification card.

 

 

 

 

 

 

 

 

 

 

 

FEE

 

 

 

 

 

 

 

 

The following fees may apply:

$18.00 Title Fee

Any Penalty Fee

Title Ad Valorem Tax (TAVT), if applicable

SUBMITTING THIS AFFIDAVIT

This affidavit must be submitted along with all required document(s) and fee(s) to the county tag office in the county where you reside. Please refer to http://dor.georgia.gov to locate the county tag office in your county of residence.

Have a question? Visit our website at http://dor.georgia.gov/motor-vehicles or scan the QR code above for more information.