Form H-120 "Officer's Affidavit of Transfer of Motor Vehicle Seized Pursuant to Alias Tax Warrant" - Connecticut

What Is Form H-120?

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

Form Details:

  • Released on March 1, 2018;
  • The latest edition provided by the Connecticut 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 H-120 by clicking the link below or browse more documents and templates provided by the Connecticut Department of Motor Vehicles.

ADVERTISEMENT
ADVERTISEMENT

Download Form H-120 "Officer's Affidavit of Transfer of Motor Vehicle Seized Pursuant to Alias Tax Warrant" - Connecticut

166 times
Rate (4.3 / 5) 10 votes
OFFICER'S AFFIDAVIT OF TRANSFER OF MOTOR
VEHICLE SEIZED PURSUANT TO ALIAS TAX WARRANT
H-120 REV. 3-2018
STATE OF CONNECTICUT
DEPARTMENT OF MOTOR VEHICLES
60 STATE STREET, WETHERSFIELD, CT 06161
TITLE DIVISION
The undersigned official who is authorized, pursuant to sections 12-155 and 12-162 of the Connecticut General Statutes, to levy upon the
goods and chattels of any person who is delinquent in the payment of personal property taxes to a Connecticut municipality or taxing
district, hereby deposes and says as follows:
1. In accordance with a Property Alias Tax Warrant (hereinafter referred to as "Warrant") dated
__________________________
, issued by
the Tax Collector of the Town or City of
______________________
_
, I have been commanded to collect a debt for unpaid taxes (and
related interest, penalties and fees, as allowed by law) in the name of the following person (hereinafter referred to as "Delinquent
Taxpayer"):
NAME
ADDRESS
2. Pursuant to said Warrant, I have caused to be seized the following motor vehicle owned by the Delinquent Taxpayer:
YEAR
MAKE
REGISTRATION MARKER PLATE NUMBER
VEHICLE IDENTIFICATION NUMBER
At the time that the motor vehicle was seized, such motor vehicle was registered and titled in the name of the Delinquent Taxpayer,
according to the records of the Department of Motor Vehicles.
3. The Delinquent Taxpayer has been duly notified of the seizure of the above-described vehicle and its storage location.
4. The Delinquent Taxpayer has been notified that he/she may reclaim such vehicle by discharging the tax liability by paying the taxes
owed, including interest, fees, costs and charges as allowed by law. Despite such notice and opportunity, the Delinquent Taxpayer has
failed to pay the tax liability, or to contest the tax liability or the execution levied thereon in the manner provided by law, or if contested, has
failed to secure any ruling, order or judgment in his/her favor.
5. I have caused an inquiry to be made to the Commissioner of Motor Vehicles concerning the status of title to the above-described vehicle
and to determine whether there are any security interests that appear on the record of such title. I have (circle one):
a. determined there are no such recorded security interests; or
b. obtained proof of a letter of satisfaction from the lienholder(s) recorded on the certificate of title (see attached); or
c. have provided certified mail to the lienholder(s) on the Commissioner of Motor Vehicles' records on
date(s),
and despite such proof of notification, the lienholder has failed to pay the tax liability or to contest the tax liability or the execution levied
thereon in the manner provided by law. If contested, the lienholder has failed to secure any ruling, order or judgment in its favor.
6. A public auction sale of the above-described vehicle was held on
___________________________________________
(date) at
________________________________________________________________________________________________
(location).
7. The above-described vehicle has been sold and conveyed at auction and I have furnished the original copy of this Affidavit to the
purchaser (or the purchaser's authorized agent).
8. I have informed the purchaser that this Affidavit, together with the Warrant, DMV Form Q-1 "Supplemental Assignment
of Ownership", and evidence of lien satisfaction, if required, must be presented to the Commissioner of Motor Vehicles in order to make
application for registration and title, and that the facts stated herein will be relied on by the Commissioner in deciding whether to grant
such application.
State Marshal
Subscribed and sworn to before me, under penalty of false statement, the undersigned officer,
at ___________________________________, Connecticut, this
__________
day of ________________________.
Commissioner of Superior Court
Notary Public
My commission expires:
OFFICER'S AFFIDAVIT OF TRANSFER OF MOTOR
VEHICLE SEIZED PURSUANT TO ALIAS TAX WARRANT
H-120 REV. 3-2018
STATE OF CONNECTICUT
DEPARTMENT OF MOTOR VEHICLES
60 STATE STREET, WETHERSFIELD, CT 06161
TITLE DIVISION
The undersigned official who is authorized, pursuant to sections 12-155 and 12-162 of the Connecticut General Statutes, to levy upon the
goods and chattels of any person who is delinquent in the payment of personal property taxes to a Connecticut municipality or taxing
district, hereby deposes and says as follows:
1. In accordance with a Property Alias Tax Warrant (hereinafter referred to as "Warrant") dated
__________________________
, issued by
the Tax Collector of the Town or City of
______________________
_
, I have been commanded to collect a debt for unpaid taxes (and
related interest, penalties and fees, as allowed by law) in the name of the following person (hereinafter referred to as "Delinquent
Taxpayer"):
NAME
ADDRESS
2. Pursuant to said Warrant, I have caused to be seized the following motor vehicle owned by the Delinquent Taxpayer:
YEAR
MAKE
REGISTRATION MARKER PLATE NUMBER
VEHICLE IDENTIFICATION NUMBER
At the time that the motor vehicle was seized, such motor vehicle was registered and titled in the name of the Delinquent Taxpayer,
according to the records of the Department of Motor Vehicles.
3. The Delinquent Taxpayer has been duly notified of the seizure of the above-described vehicle and its storage location.
4. The Delinquent Taxpayer has been notified that he/she may reclaim such vehicle by discharging the tax liability by paying the taxes
owed, including interest, fees, costs and charges as allowed by law. Despite such notice and opportunity, the Delinquent Taxpayer has
failed to pay the tax liability, or to contest the tax liability or the execution levied thereon in the manner provided by law, or if contested, has
failed to secure any ruling, order or judgment in his/her favor.
5. I have caused an inquiry to be made to the Commissioner of Motor Vehicles concerning the status of title to the above-described vehicle
and to determine whether there are any security interests that appear on the record of such title. I have (circle one):
a. determined there are no such recorded security interests; or
b. obtained proof of a letter of satisfaction from the lienholder(s) recorded on the certificate of title (see attached); or
c. have provided certified mail to the lienholder(s) on the Commissioner of Motor Vehicles' records on
date(s),
and despite such proof of notification, the lienholder has failed to pay the tax liability or to contest the tax liability or the execution levied
thereon in the manner provided by law. If contested, the lienholder has failed to secure any ruling, order or judgment in its favor.
6. A public auction sale of the above-described vehicle was held on
___________________________________________
(date) at
________________________________________________________________________________________________
(location).
7. The above-described vehicle has been sold and conveyed at auction and I have furnished the original copy of this Affidavit to the
purchaser (or the purchaser's authorized agent).
8. I have informed the purchaser that this Affidavit, together with the Warrant, DMV Form Q-1 "Supplemental Assignment
of Ownership", and evidence of lien satisfaction, if required, must be presented to the Commissioner of Motor Vehicles in order to make
application for registration and title, and that the facts stated herein will be relied on by the Commissioner in deciding whether to grant
such application.
State Marshal
Subscribed and sworn to before me, under penalty of false statement, the undersigned officer,
at ___________________________________, Connecticut, this
__________
day of ________________________.
Commissioner of Superior Court
Notary Public
My commission expires: