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Application For Repossession Certificate Of Ownership OS-SS-57 - New Jersey

Application For Repossession Certificate Of Ownership Form. This is a New Jersey form and can be used in Motor Vehicle Commission Statewide .
 Fillable pdf Last Modified 3/3/2010
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New Jersey Motor Vehicle Commission STATE OF NEW JERSEY 1-888-486-3339 ext. 5070 (in state) 1-609-292-6500 ext. 5070 (out of state) P.O. Box 017 Trenton, NJ 08666-0017 Application for Repossession Certificate of Ownership Certification of Compliance with Article 9 of the New Jersey Uniform Commercial Code The vehicle described below was repossessed on date: ________________ and was disposed of pursuant to the provisions of Article 9 of the New Jersey Uniform Commercial Code on the date shown below. Secured Name of Secured Party Street Address City State Zip Name of Debtor Debtor Street Address City State Zip Vehicle Identification Number Body Type Present Odometer Reading Vehicle Year Make Model Color Note: If the lienholder/secured party is taking title, the below section must be completed and signed. Name of Buyer or Lienholder taking title Date of Sale Title Transferee Street Address City State Zip Driver License No. (If business, corpcode) Sex Eye Color Date of Birth Signature of Buyer or Lienholder taking title: ___________________________________________________________ I, the undersigned, do hereby certify that I am the secured party mentioned in the foregoing application, that the repossessed vehicle has been disposed of pursuant to the provisions of Article 9 of the New Jersey Uniform Commercial Code and that the information contained herein is true to the best of my knowledge. Signature and title of secured party : ______________________________________________________________________ Please note: N.J.S.A. 39:10-11 required that this assignment and New Jersey title papers be presented to the NJ Motor Vehicle Commission within 10 days; failure to do so will result in a penalty of $25, in addition to the filing and issuing fee of the new title. Forward a $60.00 check or money order made payable to "NJMVC", with a copy of the security agreement, notice of sale to the owner/debtor, and the certificate of ownership. Only mail documents to: NJ Motor Vehicle Commission ­ Repossession Unit, 225 Dealer Tax Stamp E. State Street, P.O. Box 017, Trenton, NJ 08666-0017. Purchase Price $ ________________________ Sales/ Use Tax $ ________________________ Ex Code OS/SS-57 (R7/09) Initials American LegalNet, Inc. www.FormsWorkFlow.com
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