T-16 Form – Fill Out and Use This PDF

The Georgia Affidavit of Repossession, also known as Form T-16, is a legal document used by a repossessor to certify that a motor vehicle has been repossessed due to the owner's failure to meet their obligations for settlement of a lien or security interest on the vehicle. The purpose of this affidavit is to provide proof of repossession to the Georgia Department of Revenue's Motor Vehicle Division.

Georgia Repossession Form PDF Details

The affidavit includes the primary and secondary owner's information, lienholder or security interest holder information, and the vehicle's identification information, including the year, make, model, and VIN. The affidavit must be completed in its entirety, legibly printed or typed, and submitted along with the current Georgia title and the required fees to the county tag office in the county where the repossessor resides.

The fees for submitting this affidavit include an $18.00 Title Fee, any Penalty Fee, and Title Ad Valorem Tax (TAVT), if applicable. If the repossessor has sold the vehicle, they should complete the first title assignment transferring the ownership of the vehicle to the purchasing parties using the purchaser's full legal name(s).

Question	Answer
Form Name	T-16 Form
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	georgia repo affidavit, ga repossession, affidavit of repo ga, t16 form

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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
Primary Owner’s
Full Legal Name:

Mailing Address:		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:

Mailing Address:

Street No.

Street Name

Apt./Suite No.

City:

State:

ZIP Code:

Telephone No.:

LIENHOLDER OR SECURITY INTEREST HOLDER INFORMATION

Lienholder’s or Security

Date of Repossession:

Interest Holder’s Name:

Mailing Address:

Street No.

Street Name

Apt./Suite No.

City:

State:

ZIP Code:

Telephone No.:

VEHICLE INFORMATION

Vehicle Identification No. (VIN):

Make:

Model:

Year:

Current Title No.:

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:

NOTARY PUBLIC ACKNOWLEDGMENT

Sworn to and subscribed before me this

day of

Month

Year

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.

How to Edit T-16 Form Online for Free

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T-16 Form – Fill Out and Use This PDF

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