Fillable Affidavit of Repossession (Illinois Secretary of State)

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Affidavit of Repossession (Illinois Secretary of State)

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Repossessed from Owner (Borrower) Name: ____________________________________________________________________________

City/State ______________________________________________________________________ ZIP Code ____________________

Creditor (Lienholder) Name: ________________________________________________________________________________________

City/State ______________________________________________________________________ ZIP Code ____________________

Purchaser(s) Name: ______________________________________________________________________________________________

City/State ______________________________________________________________________ ZIP Code ____________________

The owner’s vehicle was lawfully repossessed by the lienholder for default under the terms of the owner’ s loan/security agreement with

the lienholder . The lienholder lawfully terminated the owner’ s interest in the vehicle pursuant to the terms of the loan/security agreement.

The lienholder delivered or mailed to the owner at the owner’s last known address and any other lienholder of record the Notice of

Redemption required under the Illinois V ehicle Code (625 ILCS 5/3-1 14(f-5)(1)), and the sale of the vehicle occurred after the expiration

of 2 1 days from the date of mailing or delivery of the Notice. If the owner’s vehicle was a non-commercial vehicle, the lienholder also

delivered or mailed to the owner at the owner's last known address the Affidavit of Defense required under the Illinois V ehicle Code (625

ILCS 5/3-1 14(f5)(2)), and no response was received from the owner within 2 1 days after mailing or delivery .

Owner’s V ehicle (Collateral): Y ear __________ Make _______________________________Model _____________________________

VIN ____________________________________________________________ Title # ______________________________________