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Motor Vehicle Defect Notification (Iowa) - Legal Forms
| Motor Vehicle Defect Notification (Iowa) Form. This is a Legal Forms form and can be used in Lemon Law Consumer . |
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[Insert date here] MOTOR VEHICLE DEFECT NOTIFICATION (Please print clearly in ink) Pursuant to the Iowa Lemon Law, notice is given to the manufacturer as follows: (check all that apply) ____ The vehicle has been out of service at least 20 cumulative days to repair one or more malfunctions or conditions that cause the vehicle not to conform to the warranty. ____ Three or more repair attempts have been made to repair the same defect or condition. ____ The vehicle has been in the shop one time by reason of a defect likely to cause death or substantial bodily injury. Description of continuing defect(s) or condition(s): ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ (Note To The Manufacturer: this may not be a complete description; the manufacturer should ascertain all appropriate information). I am requesting that you make a final attempt to correct the continuing substantial defect(s) or condition(s). Veh. Make _________________Model _____________ Year ________ Vehicle Identification Number _________________________________ Name and City/State of selling dealer of leasing co. __________ American LegalNet, Inc. www.FormsWorkFlow.com ________________________________________________________________ Date of Delivery _________ Odometer reading at delivery _______ Today's date _____________ Current odometer reading _________ Name and City/State of authorized service agent(s) attempting previous repairs: _____________________________________________ ________________________________________________________________ ________________________________________________________________ Consumer _____________________ Home phone (_____)______________ Address _____________________ Work phone (_____)______________ _____________________ Signature ______________________ COPYRIGHT © 2000 THE STATE OF IOWA. ALL RIGHTS RESERVED. American LegalNet, Inc. www.FormsWorkFlow.com
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