Fill and Sign the Motor Vehicle Division Form Mv 1 Georgia Department of Revenue

MAG 4 0 - 01 MAGISTRATE COURT OF ______________COUNTY, GEORGIA Date Filed ________________ Case No: _______________ ____________________________________________________ ____________________________________________________ ____________________________________________________ Vehicle Owner Name, Address Plaintiff(s) Name, Address ____________________________________________________ ____________________________________________________ ___________________________________________________ Motor Vehicle Description and VIN Lien Holders Notified PETITION FOR ABANDONED MOTOR VEHICLE LIE N FORECLOSURE ____________________________________________________________________________________________________________ NOW COMES PETITIONER, a [ ] towing or storage facility [ ] repair facility [ ] salvage dealer, and files this petition to foreclose on the above - referenced abandoned motor vehicle. Date vehicle was [ ] towed [ ] left at repair facility [ ] left with salvage dealer (authority to tow attached) Date information was requested from Department of Revenue or authorized entity (copy of owner information attached) Date and method of first notice [ ] mailed [ ] hand delivery [ ] advertise d [ ] disclaimer (proof of compliance attached for all owners ) The accrued fees allowed under OCGA § 40 - 11 - 19, as set forth below, have not been paid. PETITIONER PRAYS that the lien be foreclosed and an order be issued to allow for public sale of the vehicle to satisfy a lien for the following amou nts: Removal (Towing) Fee: $ Storage: (At $ __ __ _ per day for __ days) $ Future Storage Fee $ per day from date of filing this action through 25 days after judgment is rendered Repair Fees (if applicable , with invoice attached ): $ Cost of Obtaining Owner Information: $ Notification/Advertising Fee s: $ TOTAL: $ PETITIONER ALSO PRAYS for prejudgment interest at the rate of 4% per annum from which the OCGA § 40 - 11 - 19 notif ication was received, 15% attorney’s fees (if applicable), and all costs of court. Sworn to and Subscribed before me This ____ day of_____________20_____ Notary Public o r Clerk Plaintiff/Attorney for Plaintiff My Commission Expires: SUMMONS YOU MUST FILE AN ANSWER TO THIS CLAIM NO LATER THAN TEN (10) DAYS FROM RECEIPT OF THIS NOTICE USING THE STANDARDIZED ANSWER FORM PROVIDED. FAILURE TO FILE A TIMELY ANSWER WILL RESULT IN FORECLOSURE OF THE LIEN AND A COURT ORDER AUTHORIZING DISPOSITION OF THE VEHICLE PURSUANT TO OCGA 40 - 11 - 19.2. vs