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Demand For Arbitration Form And Instructions (Vermont) TA-VN-219 - Legal Forms
| Demand For Arbitration Form And Instructions (Vermont) Form. This is a Legal Forms form and can be used in Lemon Law Consumer . |
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Department of Motor Vehicles Motor Vehicle Arbitration Board 120 State Street Montpelier, VT 05603-0001 802-828-2943. 711 TTY/TDD DEMAND FOR ARBITRATION FILING INSTRUCTIONS. A Demand for Arbitration will be docketed for a hearing when it is completed in full as applicable, accompanied by the information requested within Enclosures and submitted per the Filing Instructions itemized below. The claim will be returned if relevant enclosures are omitted. Please remember the preparation and presentation of the case is your responsibility. SECTION 1. SECTION 2. SECTION 3. SECTION 4. SECTION 5. SECTION 6. Enter your name, mailing address, applicable telephone numbers and e-mail address. Enter the manufacturer's name and zone office mailing address. The zone office addresses are available on the back of this page and are subject to change. Complete the vehicle description and information sections as applicable. Choose a refund or replacement vehicle and describe the defect (or defects). Check all that apply. Choose ONE filing method and complete the requested information. Enclose repair orders and summary history. OPTIONAL Use only when necessary. Enter the person's name with daytime phone number and address (Vermont only) to whom a subpoena is to be issued. Service of the subpoena is your responsibility. Procedural information will be forwarded to you with the subpoena and hearing notice. Specify requested documents. If claiming 30 days out of service, request the technician's time stamps to assist in documenting days out. Read and complete the certification section. Sign and date the Demand. SECTION 7. SECTION 8. ENCLOSURES Include a copy, if applicable, of the following documents with the Board's and Manufacturer's Demand copy: 1. 2. VEHICLE PURCHASE CONTRACT - itemizes purchase price, trade-in allowance, rebate, discounts, non-cash credit, options as of the date of purchase and motor vehicle and documentation fees, and usually includes the dealership's business logo. A retail installment contract is not the purchase contract. If the vehicle is/was financed: a) finance contract; b) WRITTEN STATEMENT from the financial institution VERIFYING TOTAL INTEREST PAID with the collateral identified; and c) Vermont Disclosure form relating to the amount financed in a motor vehicle retail installment contract for vehicles purchased on or after July 1, 2006. Enclosure (c) should be attached to the retail installment contract by dealer. LEASE AGREEMENT - Also, enter the titleholder's/lease assignee's (not the dealer's) name and address within Section 2 of the Demand. A copy of the MANUFACTURER'S EXPRESS WARRANTY for the claimed defect(s)/condition(s). The warranty summary grid is acceptable. If applicable to the claimed defect/condition, enclose the section describing warranty coverage of a term different than the grid. Any optional extended warranty is not applicable. REPAIR ORDERS including the FINAL REPAIR ORDER, which may be sent when completed. Itemized documentation of the INITIAL MOTOR VEHICLE FEES (registration, title, etc.) paid to the Vermont Department of Motor Vehicles, to the DMV of another state, including purchase and use tax, or documentation from a state's applicable entity as through property taxes. A copy of your vehicle registration and insurance certificates. (The inspection sticker must be current.) If your claim is for "3 times out," filing method A 8. Submit a repair history summary for the claimed condition(s) and include written confirmation the condition(s) filed for was present as of the date of filing, which is one prerequisite for filing. If your claim is for "30 days," filing method B 9. Prepare a chronology of warranted repair orders with repair order number, dates, mileage and number of days out of service with a repair summary. For a day to be counted, the vehicle must have been unavailable for your use for the major portion of a day (4 hours) by reason of being under the control of the manufacturer, its agent or authorized dealer for repair. Optional extended warranties purchased are not applicable. 3. 4. 5. 6. 7. 10. Bills supporting a request for consequential/incidental damages. Justification may be provided in writing or verbally at the hearing. FILING INSTRUCTIONS Mail the ORIGINAL COPY with enclosures to: Motor Vehicle Arbitration Board, Department of Motor Vehicles, 120 State Street, Montpelier, VT 056030001 Mail the SECOND COPY with enclosures to the manufacturer's zone office, not to the dealer. Certified mail is recommended. Keep the THIRD COPY for your records. Retain enclosure originals. TA-VN-219 (LV) INTERNET 11/08 Internet Address: DMV.VERMONT.GOV American LegalNet, Inc. www.FormsWorkFlow.com MANUFACTURERS' ZONE OFFICES The following information is subject to change. Please refer to the DMV website which is updated as needed. ACURA See American Honda AMERICAN HONDA MOTOR COMPANY, INC., 1919 Torrance Blvd., Torrance, CA 90501 ~ Mail stop 500-2N-7F ACURA, Customer Relations, 1919 Torrance Blvd., Torrance, CA 90501 AMERICAN SUZUKI MOTOR CORP., 3251 E. Imperial Highway, Brea, CA 92621-1100 AUDI OF AMERICA, INC., Customer Care, 3499 W. Hamlin, Rochester Hills, MI 48326 BMW OF NORTH AMERICA, INC., PO Box 1227, Westwood, NJ 07675 CHRYSLER LLC, Customer Relations Manager, Northeast Business Center, 108 Route 303, Tappan, NY 10983 DAMON CORP., PO Box 2888, 2929 Gateway Dr., Elkhart, IN 46515-2888 FORD MOTOR COMPANY, Ford Customer Service Division, 1 International Blvd., Ste. 1101, Mahwah, NJ 07495 GENERAL MOTORS CORPORATION BUICK Motor Division, PO Box 33136, Detroit, MI 48232-5136 CADILLAC Motor Car Division, PO Box 33169, Detroit, MI 48232-5169 CHEVROLET Motor Division, PO Box 33170, Detroit, MI 48232-5170 HUMMER H2/H3, PO Box 33177, Detroit, MI 48232-5177 OLDSMOBILE Division, PO Box 33171, Detroit, MI 48232-5171 PONTIAC/GMC Division, PO Box 33172, Detroit, MI 48232-5172 SATURN Customer Assistance Center, PO Box 33173, Detroit, MI 48232-5173 GLOBAL ELECTRIC MOTORCARS, LLC, A Chrysler Company, 1301 39th St., NW, Ste. 2, Fargo, ND 58102-2807 HONDA See American Honda Motor Company, Inc. HYUNDAI MOTOR AMERICA, 1100 Cranberry River Rd., Jamesburg, NJ 08831 INFINITI See Nissan North America, Inc. ISUZU MOTORS AMERICA, INC., 13340 183rd St., Cerritos, CA 90702 JAGUAR CARS, 555 MacArthur Blvd., Mahwah, NJ 07430 JAYCO, INC., Consumer Affairs Department, PO Box 460, Middlebury, IN 46540 KIA MOTORS AMERICA, INC., Eastern Region, 1 Tower Center Blvd., Ste
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