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Affidavit Of Disposition Of Abandoned Motor Vehicle MAG 40-04 - Georgia
| Affidavit Of Disposition Of Abandoned Motor Vehicle Form. This is a Georgia form and can be used in Abandoned Motor Vehicle Magistrate Court Gwinnett Local County . |
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IN THE MAGISTRATE COURT OF GWINNETT COUNTY STATE OF GEORGIA __________________________________________________ Plaintiff vs. Civil Action File No: ________________________________ (Motor Vehicle) AFFIDAVIT OF DISPOSITION OF__________________________________________________ ABANDONED MOTOR VEHICLE (Vehicle Identification Number) (Tag Number) Last known registered owner(s) & lienholder(s): Comes now ___________________________________________________, [ ] the Plaintiff [ ] agent for thePlaintiff herein, who after having been duly sworn or affirmed states that the following facts are true and correct to the bestof his/her knowledge: [ ] The vehicle was redeemed by owner/lienholder prior to public auction. No sums are due and payable. Or [ ] The vehicle was sold at public auction on , at , said address being within: [ ] the city limits of _____________________________________________________; [ ] unincorporated Gwinnett County. The sale was conducted in compliance with the provisions of O.C.G.A. 40-11-6. 1. The vehicle was impounded at the request of a: [ ] private individual [ ] city officer/official of _________________________________ (Name of Municipality) [ ] county officer/official [ ] Georgia State Patrol. 2. The amount received for the vehicle at public sale $ 3. The amount of the lien on the vehicle $ 4. The amount due to Clerk of Court and submitted herewith $ 5. A true and correct copy of the bill of sale of the vehicle is attached hereto as Exhibit A. __________________________________________ [ ] Plaintiff [ ] Agent for PlaintiffSworn to and subscribed before me this _________ day of _____________________, 20_____. Notary Public/Clerk of Court My Commission Expires: W:\Magforms & C:\MyFiles\Forms\MAG 40-04 Affidavit of Disposition of AMV (AUG 2001)
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