Form MVT-5 "Affidavit of Repossession" - Maine

What Is Form MVT-5?

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 July 1, 2019;
  • 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 MVT-5 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 MVT-5 "Affidavit of Repossession" - Maine

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AFFIDAVIT OF REPOSSESSION
SECRETARY OF STATE
Attach to Certificate of Title
BUREAU OF MOTOR VEHICLES
ENFORCEMENT, ANTI-THEFT, &
REGULATIONS - TITLE SECTION
Date: ___________________________
I,____________________________________________________of_____________________________________________________
(Lien holder)
(Address)
certify that there was due from __________________________________________________________________________ a valid
lien
(Debtor)
dated ___________________________________ on the following described motor vehicle:
(Date of Lien)
YEAR
MAKE
VEHICLE IDENTIFICATION NUMBER
CERTIFICATE OF TITLE NUMBER
I further certify that default having been made in the payment of the loan that:
Check One:
The debtor voluntarily surrendered the possession of this motor vehicle to the undersigned lienholder on
_________________________.
(Date)
The undersigned lien holder seized this motor vehicle without process of the law on __________________________ under
authority of the conditions of the loan contract.
(Date)
The undersigned lien holder further certifies that the vehicle described herein was lawfully repossessed under the terms of the security
agreement and in full accord with pertinent Maine Statutes.
_____________________________________________________
____________________________________________________
(Name of Lien holder)
(Authorized Signature)
IMPORTANT NOTES:
1.
The lien must be released on the face of the title.
2.
This form cannot be used to transfer ownership. Transfer ownership on the reverse of the title.
THIS FORM MUST BE NOTARIZED
Before me personally appeared, ________________________________________________ who by being duly sworn under oath says
the statements set forth above are true and correct. Sworn to and subscribed before me at, ___________________________________,
(City/Town)
Maine this ______________________________ day of ____________________________, 20___ ___.
__________________________________________________
(Signature of Notary or Attorney)
INFORMATION ABOUT THE USE OF THIS AFFIDAVIT
This affidavit is for use by lending institutions when a vehicle is repossessed. It should be completed and signed by an
authorized representative of the lending institution and should also be notarized.
The lending institution should release the lien on the Certificate of Title and assign ownership to the purchaser in the
space provided on the reverse side of the Certificate. This affidavit should then be stapled to the Certificate of Title and
given to the purchaser.
A Certificate of Title may not be issued to the vehicle unless both the affidavit and the properly released and assigned
Certificate of Title are surrendered to the Secretary of State with an application for a new Certificate of Title and the
proper fee.
101 Hospital Street, #29 State House Station, Augusta, ME. 04330 -029 Tel. (207) 624-9000 Ext.52138
TTY Users call Maine relay 711
MVT-5 Rev. 07/2019
AFFIDAVIT OF REPOSSESSION
SECRETARY OF STATE
Attach to Certificate of Title
BUREAU OF MOTOR VEHICLES
ENFORCEMENT, ANTI-THEFT, &
REGULATIONS - TITLE SECTION
Date: ___________________________
I,____________________________________________________of_____________________________________________________
(Lien holder)
(Address)
certify that there was due from __________________________________________________________________________ a valid
lien
(Debtor)
dated ___________________________________ on the following described motor vehicle:
(Date of Lien)
YEAR
MAKE
VEHICLE IDENTIFICATION NUMBER
CERTIFICATE OF TITLE NUMBER
I further certify that default having been made in the payment of the loan that:
Check One:
The debtor voluntarily surrendered the possession of this motor vehicle to the undersigned lienholder on
_________________________.
(Date)
The undersigned lien holder seized this motor vehicle without process of the law on __________________________ under
authority of the conditions of the loan contract.
(Date)
The undersigned lien holder further certifies that the vehicle described herein was lawfully repossessed under the terms of the security
agreement and in full accord with pertinent Maine Statutes.
_____________________________________________________
____________________________________________________
(Name of Lien holder)
(Authorized Signature)
IMPORTANT NOTES:
1.
The lien must be released on the face of the title.
2.
This form cannot be used to transfer ownership. Transfer ownership on the reverse of the title.
THIS FORM MUST BE NOTARIZED
Before me personally appeared, ________________________________________________ who by being duly sworn under oath says
the statements set forth above are true and correct. Sworn to and subscribed before me at, ___________________________________,
(City/Town)
Maine this ______________________________ day of ____________________________, 20___ ___.
__________________________________________________
(Signature of Notary or Attorney)
INFORMATION ABOUT THE USE OF THIS AFFIDAVIT
This affidavit is for use by lending institutions when a vehicle is repossessed. It should be completed and signed by an
authorized representative of the lending institution and should also be notarized.
The lending institution should release the lien on the Certificate of Title and assign ownership to the purchaser in the
space provided on the reverse side of the Certificate. This affidavit should then be stapled to the Certificate of Title and
given to the purchaser.
A Certificate of Title may not be issued to the vehicle unless both the affidavit and the properly released and assigned
Certificate of Title are surrendered to the Secretary of State with an application for a new Certificate of Title and the
proper fee.
101 Hospital Street, #29 State House Station, Augusta, ME. 04330 -029 Tel. (207) 624-9000 Ext.52138
TTY Users call Maine relay 711
MVT-5 Rev. 07/2019