Form MV-950 "Affirmation of Repossession and Bill of Sale" - New York

This version of the form is not currently in use and is provided for reference only.
Download this version of Form MV-950 for the current year.

What Is Form MV-950?

This is a legal form that was released by the New York State Department of Motor Vehicles - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2015;
  • The latest edition provided by the New York State Department of Motor Vehicles;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form MV-950 by clicking the link below or browse more documents and templates provided by the New York State Department of Motor Vehicles.

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Download Form MV-950 "Affirmation of Repossession and Bill of Sale" - New York

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MV-950 (12/15)
AFFIRMATION OF REPOSSESSION AND BILL OF SALE
dmv.ny.gov
INSTRUCTIONS Ø Lenders must complete boxes
2 3 4
5 6
1
5
If Lender is selling vehicle, Purchaser information is required in boxes
1
VEHICLE DESCRIPTION
(includes motor vehicle or motorcycle, manufactured home* or boat * )
YEAR
MAKE
MODEL
STATE LAST REG
STATE LAST TITLED
PLATE NUMBER
VEHICLE IDENTIFICATION NUMBER
9
2
LENDER
BORROWER
Business
Last Name,
Name
First, M.I.
Number and
Apt. No.
Number and
Apt. No.
Street Address
Street Address
City
State
ZIP Code
City
State
ZIP Code
The vehicle described above was repossessed in _______________________ on ______________ from the borrower who was in default
(State)
of a security contract dated _______________ . On ________________ , ______________________________________________ was
(Auctioneer)
authorized to sell the above vehicle (if applicable).
(Month/Day/Year)
Section 425(1) of the Vehicle and Traffic Law requires that, when a motor vehicle or motorcycle is repossessed, proper notification must
be provided to the parties listed below, within 24 hours.
(*NOTE: This notification is not required when a manufactured home or boat is repossessed.)
3
PROPER NOTICE HAS BEEN GIVEN TO THE FOLLOWING PARTIES (list names and addresses ):
Date Notified
Police Agency Name
Address
Commissioner of Motor Vehicles (enter Name
Address
of Motor Vehicles office notified)
Borrower/Current Owner Name
Address
(other than lienholder)
Other Name
Address
Under the penalties of perjury, I affirm that I have complied with Section 425(1) of the New York State Vehicle and Traffic Law (see page 2) and/or any
applicable laws in the state where the vehicle was repossessed, pertaining to the repossession of the vehicle described above. I further affirm that, if there are
any other open perfected liens on the vehicle, and a lien release is not obtained, I have advised the purchaser of the outstanding liens
ç
on the vehicle.
(Lender’s Signature)
4
ODOMETER DISCLOSURE STATEMENT
o
o
o
The odometer on the vehicle described above has (check the appropriate box):
, not including tenths.
5 digits
6 digits
7 digits
Federal and state laws require that the mileage of the vehicle described above be specified upon transfer of ownership. Failure to do so, or
not telling the truth about mileage, may result in fines and/or imprisonment.
I, _______________________________________________________ state that the odometer now reads ______________________ miles
Lender – Print Name in Full
(do not include tenths of a mile)
and (one of the following statements must be checked):
o
1.
I certify that, to the best of my knowledge, this odometer reading reflects the “ACTUAL MILEAGE” as seen on the odometer of
the vehicle described above.
o
2.
I certify that, to the best of my knowledge, the above-disclosed odometer reading “EXCEEDS MECHANICAL LIMITS”. (The mileage
is in excess of what the odometer is capable of recording.)
o
3.
I certify that, to the best of my knowledge, the above-disclosed odometer reading is “NOT THE ACTUAL MILEAGE. WARNING:
ODOMETER DISCREPANCY.”
5
DAMAGE DISCLOSURE STATEMENT
Making a false statement, or failure to accurately disclose the salvage status of a vehicle, may subject
IMPORTANT:
you to substantial civil fines, in addition to any penalties authorized by the Penal Law.
o
o
Check one box–
I certify that, to the best of my knowledge, this vehicle
has been
has not been
wrecked, destroyed or damaged to such
an extent that the total estimate, or actual cost, of parts and labor to rebuild or reconstruct the vehicle to the condition it was in before an accident, and
for legal operation on the road or highways, is more than 75% of the retail value of the vehicle at the time of loss. (Checking the “has been” box means
the vehicle must have an anti-theft examination before being registered, and that the title issued will have the statement “Rebuilt Salvage: NY” on it.)
ç
ç
Lender Signature
Purchaser Signature
6
PURCHASER:
Print Last Name,
Price
Date of Sale
First, M.I.
Paid
Number and
Apt. No.
City
State
ZIP Code
Street Address
P
AGE 1 OF 2
reset/clear
MV-950 (12/15)
AFFIRMATION OF REPOSSESSION AND BILL OF SALE
dmv.ny.gov
INSTRUCTIONS Ø Lenders must complete boxes
2 3 4
5 6
1
5
If Lender is selling vehicle, Purchaser information is required in boxes
1
VEHICLE DESCRIPTION
(includes motor vehicle or motorcycle, manufactured home* or boat * )
YEAR
MAKE
MODEL
STATE LAST REG
STATE LAST TITLED
PLATE NUMBER
VEHICLE IDENTIFICATION NUMBER
9
2
LENDER
BORROWER
Business
Last Name,
Name
First, M.I.
Number and
Apt. No.
Number and
Apt. No.
Street Address
Street Address
City
State
ZIP Code
City
State
ZIP Code
The vehicle described above was repossessed in _______________________ on ______________ from the borrower who was in default
(State)
of a security contract dated _______________ . On ________________ , ______________________________________________ was
(Auctioneer)
authorized to sell the above vehicle (if applicable).
(Month/Day/Year)
Section 425(1) of the Vehicle and Traffic Law requires that, when a motor vehicle or motorcycle is repossessed, proper notification must
be provided to the parties listed below, within 24 hours.
(*NOTE: This notification is not required when a manufactured home or boat is repossessed.)
3
PROPER NOTICE HAS BEEN GIVEN TO THE FOLLOWING PARTIES (list names and addresses ):
Date Notified
Police Agency Name
Address
Commissioner of Motor Vehicles (enter Name
Address
of Motor Vehicles office notified)
Borrower/Current Owner Name
Address
(other than lienholder)
Other Name
Address
Under the penalties of perjury, I affirm that I have complied with Section 425(1) of the New York State Vehicle and Traffic Law (see page 2) and/or any
applicable laws in the state where the vehicle was repossessed, pertaining to the repossession of the vehicle described above. I further affirm that, if there are
any other open perfected liens on the vehicle, and a lien release is not obtained, I have advised the purchaser of the outstanding liens
ç
on the vehicle.
(Lender’s Signature)
4
ODOMETER DISCLOSURE STATEMENT
o
o
o
The odometer on the vehicle described above has (check the appropriate box):
, not including tenths.
5 digits
6 digits
7 digits
Federal and state laws require that the mileage of the vehicle described above be specified upon transfer of ownership. Failure to do so, or
not telling the truth about mileage, may result in fines and/or imprisonment.
I, _______________________________________________________ state that the odometer now reads ______________________ miles
Lender – Print Name in Full
(do not include tenths of a mile)
and (one of the following statements must be checked):
o
1.
I certify that, to the best of my knowledge, this odometer reading reflects the “ACTUAL MILEAGE” as seen on the odometer of
the vehicle described above.
o
2.
I certify that, to the best of my knowledge, the above-disclosed odometer reading “EXCEEDS MECHANICAL LIMITS”. (The mileage
is in excess of what the odometer is capable of recording.)
o
3.
I certify that, to the best of my knowledge, the above-disclosed odometer reading is “NOT THE ACTUAL MILEAGE. WARNING:
ODOMETER DISCREPANCY.”
5
DAMAGE DISCLOSURE STATEMENT
Making a false statement, or failure to accurately disclose the salvage status of a vehicle, may subject
IMPORTANT:
you to substantial civil fines, in addition to any penalties authorized by the Penal Law.
o
o
Check one box–
I certify that, to the best of my knowledge, this vehicle
has been
has not been
wrecked, destroyed or damaged to such
an extent that the total estimate, or actual cost, of parts and labor to rebuild or reconstruct the vehicle to the condition it was in before an accident, and
for legal operation on the road or highways, is more than 75% of the retail value of the vehicle at the time of loss. (Checking the “has been” box means
the vehicle must have an anti-theft examination before being registered, and that the title issued will have the statement “Rebuilt Salvage: NY” on it.)
ç
ç
Lender Signature
Purchaser Signature
6
PURCHASER:
Print Last Name,
Price
Date of Sale
First, M.I.
Paid
Number and
Apt. No.
City
State
ZIP Code
Street Address
P
AGE 1 OF 2
reset/clear
MV-950 (12/15)
PAGE 2 OF 2
§
425. Repossession of motor vehicle or motorcycle; garageman’s lien; notice to police.
1. Any person, firm or
corporation, or agent, employee or representative thereof, repossessing or retaking a motor vehicle or motorcycle pursuant to
the provisions of article nine of the uniform commercial code, or other authority of law, or any contract or agreement, shall,
immediately following such repossession or retaking, personally appear at a station house or other office of the police
department, or agency or officer performing like functions, in the locality wherein such repossession or retaking occurred,
give notice to such department, agency or officer of such repossession or retaking and thereafter and within twenty-four
hours personally deliver or mail by special delivery first class mail to the nearest motor vehicle district office, (a) notice of
such repossession or retaking in such form as the commissioner may require and (b) the number plates of such motor vehicle
or motorcycle. Notice of such repossession or retaking, including the name and address of the person, firm or corporation
repossessing or retaking the same, shall also be given within twenty-four hours thereof to the owner of such motor vehicle or
motorcycle, either personally or by registered or certified mail directed to such owner at his last-known address. Unless the
motor vehicle or motorcycle can be repossessed or retaken without breach of the peace, it shall be repossessed or retaken by
legal process, but nothing herein contained shall be construed to authorize a violation of the criminal law.
Page of 2