Repossessed Vehicle Title Transfer Form
Vehicle Information
Year
Make
Model
VIN
Owner Information
Owner Name
Owner Address
City
State
ZIP Code
Lienholder (Repossession Agent)
Company/Lienholder Name
Address
City
State
ZIP Code
Repossessed Date & Transfer
Date of Repossession
Odometer Reading
Reason for Repossession
New Owner Information
Name
Address
City
State
ZIP Code
Certification
Additional Remarks
Authorized Representative Signature
Date