Blank Arizona Repossession Affidavit PDF Template Modify Form Now

Blank Arizona Repossession Affidavit PDF Template

The Arizona Repossession Affidavit form is a legal document used by lienholders to certify the repossession of a vehicle. This affidavit confirms the lienholder's ownership and the vehicle's location in Arizona, ensuring compliance with state laws. It is crucial for both sellers and buyers to understand the implications of this form, as inaccuracies may lead to significant legal consequences.

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Overview

The Arizona Repossession Affidavit form is a crucial document for lienholders who have repossessed a vehicle. This form not only provides essential information about the vehicle, such as the Vehicle Identification Number (VIN), year, and make, but also identifies the registered owner and the date of repossession. By completing this affidavit, the lienholder certifies their legal ownership and confirms that the vehicle is physically located in Arizona. The affidavit emphasizes the lienholder's adherence to the terms of the lien and applicable laws, effectively shielding the State of Arizona from any liability associated with the affidavit's contents. Additionally, it includes a Bill of Sale section, where the lienholder can transfer ownership to a buyer, along with an odometer statement that is required by federal and state law. This statement must accurately reflect the vehicle's mileage at the time of sale, as inaccuracies can lead to significant penalties. The form also mandates signatures from both the seller and the buyer, ensuring that both parties acknowledge the terms of the sale. Overall, the Arizona Repossession Affidavit is designed to streamline the process of vehicle repossession and transfer, while ensuring compliance with legal requirements.

Form Example

REPOSSESSION AFFIDAVIT

Vehicle Division

48-0902 R08/22

www.azdot.gov

 

 

 

 

 

 

 

Vehicle Identification Number

Year

Make

 

 

 

 

I

 

Registered Owner Names (printed)

Repossession Date

Title State

 

 

 

 

I

I certify that I am the legal owner and a lienholder of record for the vehicle described above, that the vehicle is physically located in Arizona and that I repossessed the vehicle upon default pursuant to the terms of the lien and all applicable laws and regulations, and that the State of Arizona, its agencies, employees and agents shall not be held liable for relying on the contents of this affidavit.

Lienholder Company Name

 

 

 

 

 

 

 

Lienholder Agent Name

Lienholder Signature

 

 

 

I

 

 

BILL OF SALE

 

 

 

I hereby sell to the Buyer, the vehicle described above.

 

 

 

 

 

 

 

Buyer Name

 

Sale Date

 

 

 

 

Street Address

City

State

Zip

 

I

 

I

Name of New Lienholder (if no lien, write NONE)

 

Lien Date

 

 

 

 

Federal and State law require that the seller states the mileage in connection with the transfer of ownership. Failure to complete the odometer statement, or providing a false statement, may result in fines and/or imprisonment.

Odometer Reading (no tenths)

miles kilometers

Mileage in excess of the odometer mechanical limits.

NOT Actual Mileage, WARNING – ODOMETER DISCREPANCY.

I certify to the best of my knowledge that the odometer reading is the actual mileage unless one of the boxes above is checked.

Seller Name (printed)

Seller Signature

Date

Street Address

City

State Zip

I am aware of the above odometer certification made by the seller.

Buyer Name (printed)

Buyer Signature

Date

— Sequential Bills Of Sale Will Not Be Accepted —

Document Characteristics

Fact Name Description
Governing Law The Arizona Repossession Affidavit is governed by Arizona Revised Statutes, specifically section 48-0902.
Purpose This form certifies the repossession of a vehicle by a lienholder after a default.
Vehicle Identification It requires the Vehicle Identification Number (VIN), year, and make of the vehicle being repossessed.
Liability Disclaimer The affidavit includes a statement that the State of Arizona and its agents are not liable for its contents.
Odometer Disclosure Federal and state law mandates that the seller must disclose the vehicle's mileage during the transfer.
Signature Requirement Both the lienholder and the buyer must sign the affidavit to validate the transaction.
Sales Information The form includes sections for the sale date and buyer's information, ensuring proper record-keeping.
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