Georgia Affidavit of Repossession form

Use this template/form as an Affidavit of Repossession form in the State of Georgia


Text version of this Form

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T-16 (Rev 08-2005)

Affidavit of Repossession

State of Georgia Page 1 of 2

County of _________________

This is to certify that the undersigned has repossessed the motor vehicle described below

because of the vehicle owner(s)’ failure to meet his or her obligation for settlement of a lien or

security interest on said vehicle.

Important: Please read all of the instructions on page 2 of this form before completing.

Vehicle Owner(s)’ Full Legal Name(s)

Vehicle Owner(s)’ Address including city, state & zip code

Vehicle Year Model & Make Vehicle Identification Number (VIN) Current Title #

Lien or Security Interest Holder’s Name Date of Repossession


City, State & zip code

I, the undersigned, hereby certify that the information shown on this form is complete and

correct. I also certify that all holders of unsatisfied liens and/or security interests recorded

against this vehicle on the records of the Georgia Department of Revenue, Motor Vehicle

Division, have been duly notified to protect any interests they have in the vehicle.

Typed or Printed Name of Lien or Security Interest Holder

Authorized Signature Date

Position or Job Title

Sworn to and subscribed before me this

Notary’s Telephone # including area code ________ of _________________, ________

(Day) (Month) (Year)

Date My Notary Commission Expires Notary Public’s Signature & Notary Seal or Stamp

Notary’s Printed Name


Note: If the title is not available, the repossessor must obtain a title in the state where the

vehicle is currently titled before transferring ownership of the vehicle

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T-16 Instructions (Rev. 08-2005) Page 2 of 2

Instructions for Completing an Affidavit of Repossession (Form T-16)

The following documents and fee(s) must be submitted together to either the Department of

Revenue/Motor Vehicle Division, PO Box 740381, ATLANTA, GA 30374-0381, or to the

applicable County Tag Office.

1. Title Application – Except for the signature(s), this form must be typed, electronically

completed and printed or legibly hand-printed in blue or black ink in the current owner(s)’

full legal name(s) reflecting their current address. The vehicle owner(s) must sign this

completed application. If someone other than the owner(s) signs this application, a

completed and signed Limited Power of Attorney (Form T-8) must be submitted.

2. Title Document – The current Georgia title must be submitted, if available. If the Georgia

title is not available, the repossessor must obtain a Georgia title in their name first, unless

the vehicle is exempt from the odometer disclosure requirements of the Federal Truth in

Mileage Act.

If the Georgia title is not issued in the person’s name from which the vehicle

was repossessed, the title must be submitted properly assigned to that person.

If the current title is an out-of-state title, it must be submitted or the

repossessor must secure a title in their name first from the state where the

vehicle is currently titled.

If the repossessor is not recorded on the face of the title or in the title

assignment as the lien or security interest holder, a copy of the contract

between the repossessor and the party from whom the vehicle was

repossessed must be submitted.

If the repossessor has sold the vehicle, the repossessor should complete the

first title assignment transferring the ownership of the vehicle to the purchasing

parties using the purchaser(s)’ full legal name(s). A natural person’s full legal

name is his or her complete name as it appears on his or her valid Georgia

driver’s license or Georgia identification card. If the title is lost, the

repossessor must obtain a title in their name from the state where the vehicle

is currently titled before transferring ownership.

3. Supporting Document(s) – An Affidavit of Repossession (Form T-16) must be completed

and signed by the repossessor. An affidavit of repossession from another state is

acceptable if it contains all of the required information and is signed by the repossessor

with his or her signature notarized.

4. Processing Fees – Pay all fees due ($18.00 title fee plus any title penalty fee for late

application) with cash or a certified check or money order payable to the office

processing the application, Department of Revenue or Office of the Tax Commissioner.

Please do not remit cash through the mail! If a title is not applied for within ninety-days

(90) of the purchase date, a $10 title penalty fee must be included in your payment.

Important: If the vehicle is “exempt” from the odometer disclosure requirements but is still

required to be titled in Georgia but the Georgia title is unavailable, the repossessor is not

required to obtain a title in their name. In this situation, the repossessor may give the

purchaser(s) a bill of sale and a completed and signed Affidavit for a Repossessed Motor

Vehicle (Form T-16). This exception only applies when there is a Georgia title on record.