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Request To Leasing Company To Elect Replacement Or Repurchase (New Vehicles Purchased On Or Before 12-31-08) (Georgia) C - Legal Forms
| Request To Leasing Company To Elect Replacement Or Repurchase (New Vehicles Purchased On Or Before 12-31-08) (Georgia) Form. This is a Legal Forms form and can be used in Lemon Law Consumer . |
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REQUEST TO LEASING COMPANY TO ELECT REPLACEMENT OR REPURCHASE I am the lessee of a vehicle that I am asserting to be defective. I am hereby requesting that you, the lessor, elect whether the manufacturer should repurchase or replace the vehicle, pursuant to Georgia's Motor Vehicle Warranty Rights Act, O.C.G.A. Section 10-1-784(a)(2). Please respond to me with your election within thirty (30) days. Vehicle make_____________________________ Model _______________________ Year _____________ Vehicle identification number (VIN) ___________________________________________________________ Name/address of dealer from whom the vehicle was leased _________________________________________ ________________________________________________________________________________________ Date of vehicle delivery ____________________________ Current odometer reading __________________ Nature of the defect ________________________________________________________________________ Date of request for final repair attempt _________________________________________________________ Note to consumer: If the manufacturer designated a repair facility within seven (7) days from the receipt of your final repair attempt request, please list the following: Date of final repair _________________________________________________________________________ Name of the facility where the final repair attempt took place _______________________________________ _________________________________________________________________________________________ Does/do the defect/s or condition/s continue to exist? _______________ Yes _______________ No *********************************************************************************** Consumer (lessee) name _______________________________________ Home phone _________________ Address_____________________________________________________ Work phone _________________ Consumer (lessee) signature ____________________________________ Today's date _________________ Instructions to consumer: Remember to make a copy of this form for your files and send the original by certified mail, return receipt requested, to the lessor identified on your current payment records or payment coupons. C American LegalNet, Inc. www.FormsWorkFlow.com
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