Form MVI-0110 "Complaint Petition" - Maine

What Is Form MVI-0110?

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

Form Details:

  • Released on September 1, 2015;
  • The latest edition provided by the Maine Department of the Secretary of State;
  • 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 MVI-0110 by clicking the link below or browse more documents and templates provided by the Maine Department of the Secretary of State.

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Download Form MVI-0110 "Complaint Petition" - Maine

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STATE OF MAINE
BUREAU OF MOTOR VEHICLES
Office of Investigation
David W. Guilmette, Director
COMPLAINT PETITION
THE PERSON COMPLAINING IS:
Your Name ________________________________________________________Date of Birth ___________________
Street Address______________________________________ Mailing Address________________________________
City ____________________________________ State ____________________ Zip Code ____________________
Home Phone __________________ Work Phone ___________________ Ext. _____Cell Phone __________________
Email Address________________________________________________ Today’s Date _________________________
This complaint is about a:
Vehicle
Title
Registration
License/ ID
Other
THE COMPLAINT IS AGAINST:
Company / Person__________________________________________________________________________________
Street Address______________________________________ Mailing Address_________________________________
City ____________________________________ State ____________________
Zip Code ____________________
Business Phone ____________________ Person(s) Dealt With _______________________________________________
VEHICLE INFORMATION:
Year __________ Make __________ Model __________ Color __________ Title Application CTA#______________
Identification #_________________________________________________ Current Mileage ______________________
Date of Purchase __________________ Mileage at Time of Purchase __________________ Cost _________________
Paid by: Cash
Check
Loan
Other ________________________________________________________
Where did you first view the vehicle? ___________________________________________________________________
Did the vehicle have a current Inspection Sticker? Yes
No
Expiration Date __________________________
Inspection Sticker #__________________ Registration Number on Back of Inspection Sticker _____________________
Did the vehicle have a used car buyer’s guide displayed? Yes
No
Have you complained to the company? Yes
No
How did you contact them? In person
by mail
by phone
by email
Have you hired a lawyer? Yes
No
Have you brought suit? Yes
No
101 Hospital Street, #29 State House Station, Augusta, Me 04333-0029 Tel. (207) 624-9000 Ext. 52144 Fax: (207) 624-9258 TTY Users call Maine relay 711
MVI-0110 Rev 09/2015
STATE OF MAINE
BUREAU OF MOTOR VEHICLES
Office of Investigation
David W. Guilmette, Director
COMPLAINT PETITION
THE PERSON COMPLAINING IS:
Your Name ________________________________________________________Date of Birth ___________________
Street Address______________________________________ Mailing Address________________________________
City ____________________________________ State ____________________ Zip Code ____________________
Home Phone __________________ Work Phone ___________________ Ext. _____Cell Phone __________________
Email Address________________________________________________ Today’s Date _________________________
This complaint is about a:
Vehicle
Title
Registration
License/ ID
Other
THE COMPLAINT IS AGAINST:
Company / Person__________________________________________________________________________________
Street Address______________________________________ Mailing Address_________________________________
City ____________________________________ State ____________________
Zip Code ____________________
Business Phone ____________________ Person(s) Dealt With _______________________________________________
VEHICLE INFORMATION:
Year __________ Make __________ Model __________ Color __________ Title Application CTA#______________
Identification #_________________________________________________ Current Mileage ______________________
Date of Purchase __________________ Mileage at Time of Purchase __________________ Cost _________________
Paid by: Cash
Check
Loan
Other ________________________________________________________
Where did you first view the vehicle? ___________________________________________________________________
Did the vehicle have a current Inspection Sticker? Yes
No
Expiration Date __________________________
Inspection Sticker #__________________ Registration Number on Back of Inspection Sticker _____________________
Did the vehicle have a used car buyer’s guide displayed? Yes
No
Have you complained to the company? Yes
No
How did you contact them? In person
by mail
by phone
by email
Have you hired a lawyer? Yes
No
Have you brought suit? Yes
No
101 Hospital Street, #29 State House Station, Augusta, Me 04333-0029 Tel. (207) 624-9000 Ext. 52144 Fax: (207) 624-9258 TTY Users call Maine relay 711
MVI-0110 Rev 09/2015
On the back of this form briefly state the facts of your complaint.
Please describe your problem and the remedy you would prefer. You will be contacted by a Detective from this Agency to
discuss your complaint. You may be asked to provide copies of paperwork pertaining to the nature of your complaint
(i.e. bill of sale, copy of title application, used car buyer’s guide, license/ID, etc.). You are not limited to 1 page to
describe your problem.
YOUR COMPLAINT IS:
Please use additional paper if more space is needed.
I make this complaint in all honesty and agree to cooperate with all phases of this investigation, including court testimony, if
requested.
Signature _________________________________________________________________ Date _____________________________
Make sure copies of all support documents are enclosed
101 Hospital Street, #29 State House Station, Augusta, Me 04333-0029 Tel. (207) 624-9000 Ext. 52144 Fax: (207) 624-9258 TTY Users call Maine relay 711
MVI-0110 Rev 09/2015
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