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New Hampshire Affidavit of Repossession Form

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New Hampshire Affidavit of Repossession Form
New Hampshire Affidavit of Repossession Form
John J. Barthelmes
Commissioner of Safety
STATE OF NEW HAMPSHIRE
DEPARTMENT OF SAFETY
DIVISION OF MOTOR VEHICLES
BUREAU OF TITLE AND ANTI-THEFT
CONCORD, NH 03305
Director of Motor Vehicles
AFFIDAVIT OF REPOSSESSION
I
NAME OF LIENHOLDER ADDRESS OF LIENHOLDER
DO HEREBY SWEAR THAT THERE WAS DUE FROM:
NAME OF DEBTOR
ADDRESS OF DEBTOR
THE SUM OF , SECURED BY A VALID LIEN DATED YR. ON A MOTOR VEHICLE DESCRIBED
AS FOLLOWS: YEAR MAKE BODY TYPE V.I.N.
COLOR AND, I FURTHER SWEAR THAT DEFAULT HAVING BEEN MADE IN THE PAYMENT BY SAID DATE, THAT
THE DEBTOR VOLUNTARILY SURRENDERED POSSESSION OF SAID VEHICLE TO THE UNDERSIGNED LIENHOLDER ON:
YR. (OR) I FURTHER SWEAR THAT DEFAULT HAVING BEEN MADE IN THE PAYMENT OF SAID
DEBT, LIENHOLDER SEIZED SAID VEHICLE WITHOUT PROCESS OF LAW ON YR. UNDER
AUTHORITY OF THE CONDITIONS OF THE LIEN CONTRACT YR.
THE UNDERSIGNED LIENHOLDER HEREBY CERTIFIES THAT THE MOTOR VEHICLE DESCRIBED HEREIN WAS LAWFULLY REPOSSESSED
UNDER THE TERMS OF A VALID AGREEMENT AND IN FULL ACCORD WITH THE PERTINENT SECTIONS OF THE NEW HAMPSHIRE REVISED
STATUTES ANNOTATED.
NAME OF LIENHOLDER CORPORATION OFFICER, TRUSTEE, PARTNER
TDMV 16 (Rev. 03/11)
New Hampshire Affidavit of Repossession Form