State of Alabama Unified Judicial System Sample Form C-39 Rev. 8/03 REPORT OF SALE ABANDONED MOTOR VEHICLE Case Number IN THE ____________________________________________ COURT OF __________________________________________, ALABAMA (Circuit) (Name of County) This Report of Sale of an Abandoned Motor Vehicle is hereby filed, by the undersigned, pursuant to §32-13-1, et seq. Ala, Code 1975: I. Information on Abandoned Motor Vehicle : Description of Vehicle : __________________________________________________________________________________________________ Vehicle Identification Number: ____________________________________________________________________________________________ Date Abandoned Motor Vehicle Left Abandoned on Affiant’s Premises (If applicable): _________________________________________________ Date Abandoned Motor Vehicle First Came into Affiant’s Possession (If applicable): _________________________________________________ II. Information on Owners, Secured Parties, and Lienholders of Record Having an Interest in the Abandoned Motor Vehicle: Names and addresses of the owners having an Interest in the abandoned motor vehicle:___________________________________________________ _________________________________________________________________________________________________________________________ Names and addresses of the secured parties having an Interest in the abandoned motor vehicle: ____________________________________________ _________________________________________________________________________________________________________________________ Names and addresses of the Lienholders of record having an interest in the abandoned motor vehicle: ________________________________________ _________________________________________________________________________________________________________________________ Dates on which the certified mail as required by § 32-13-4 (a) [Notice of sale of abandoned motor vehicle] was sent to the: Owner: ___________________________________________________________________________________________________________________ Secured Party: _____________________________________________________________________________________________________________ Lienholder of Record: ________________________________________________________________________________________________________ III. Information on Net Proceeds of Sale of Abandoned Motor Vehicle: Sale Price of Abandoned Motor Vehicle:……………………………………………………………………………………………………. $ ________________ Amount of Repair: …………………………………………………………… $ __________________ Towing Expenses: …………………………………………………………… $ __________________ Storage Expenses: …………………………………………………………… $ __________________ Other: …………………………………………………………………………. $ __________________ Total Amount Deducted from Sale Price: …………………………………………………………………………………………………… $ ________________ Balance (This amount shall be paid to the Circuit Clerk) ………………………………………………..………………………………… $ ________________ If the above balance is more than $35.00, a filing fee of $35.00 also shall be paid to the Circuit Clerk when filing this Report of Sale of Abandoned Motor Vehicle (§ 12-19-76 and § 32-13-6 (c), Ala. Code 1975). IV. Date, Time and Place of Sale of Abandoned Motor Vehicle: Date and Time of Sale of Abandoned Motor Vehicle: _______________________________________________________________________________ Place of Sale: ______________________________________________________________________________________________________________ Attached is the following: (Check which box is applicable): [ ] A copy of the statement, form or document from the Department of Revenue Identifying the current owners, secured parties or lienholders of record of the abandoned motor vehicle and a copy of the certified mail return receipt proving that the notice of sale was given or was attempted to be given, to the owners, secured parties, or lienholders of record as required by § 32-13-4 (a); or [ ] A copy of statement, form, or document from the Department of Revenue indicating that the department has no record of the current owners, secured parties, or lienholders of record for the abandoned motor vehicle and a notarized affidavit from the seller attesting that the affiant gave notice, or attempted to give notice. [The following Information needs to be completed only if the owners, secured parties and lienholders of record are not known and could not be ascertained by reasonable effort]: Name of Newspaper in which Sale of Abandoned Motor Vehicle was Published [§ 32-13-4 (b) ]:______________________________________________ Dates Sale was Published in Newspaper: ________________________________________________________________________________________ Cost of Publication: __________________________________________________________________________________________________________ I, [Print Name] __________________________________________ the undersigned, do hereby certify that I am the person who made such sale of the abovedescribed abandoned motor vehicle in accordance with §32-13-1, et seq., Ala. Code 1975, that the abandoned motor vehicle made the subject of the sale was sold to the highest bidder, and that the above Report of Sale of the Abandoned Motor Vehicle is a true and correct statement of the sale price and expenses involved in the sale of the abandoned motor vehicle and is a true and correct statement of the other information stated above. __________________________________________ Affiant’sSiganture Sworn to and subscribed before me, this _________ day of __________, _________. ____________________________________________ Business Address Notary Public/Clerk ___________________________________________________ Business Telephone Number. _____________________ CLERK’S APPROVAL Based on § 32-13-6 (b), Ala, Code 1975, the Clerk [ ] approves [ ] does not approve the Report of Sale – Abandoned Motor Vehicle. American LegalNet, Inc. www.FormsWorkflow.com