DEFICIENCY JUDGMENT DECLARATION AUTO SALE Defendant(s) against whom Judgment sought: _________________________________ Case No.: __________________ 1. Secured transaction on which deficiency claim based is LOAN 2. Type of Vehicle________________________________ SALE Year__________ 3. Name of Assignor _____________________________________________ 4. Original Seller ________________________________________________ 5. Date of Contract ________________________ Commercial (attach Original contract) 6. Cash value of vehicle when contract was signed............................................ $_______________ 7. Is this written in the contract? No Yes (circle in contract) Consumer 8. Date of Default ______________________ ORIGINAL CONTRACT BALANCE ..............$_____________ PLUS INSURANCE ADD-ON .......................+ $_____________ = $_______________ 9. BALANCE DUE ON DATE OF DEFAULT...........................................................$_______________ 10. Date of Repossession __________________ 11. Date Notice of Intent to Sell was served _______________ (attach copy of notice) 12. Have you attached Proof of Certified Mailing? 13. Date of Resale__________________ 14. Purchaser at Resale______________________________________________ Yes No Page 1 of 3 American LegalNet, Inc. www.FormsWorkFlow.com Case No:_________________ 15. AMOUNT RECEIVED ON RESALE .................................................................. $ ______________ 16. Blue Book (on date of resale): Retail $ ______________ Wholesale $ _____________ 17. Bids received: $ ____________ $_______________ $______________ 18. Describe how the vehicle marketed in a commercially reasonable manner ____________________________________________________________________________ ____________________________________________________________________________ 19. Credits: Payments received since repossession $ _____________ Amount of finance charge rebate Amount of insurance rebate Other ____________________ Sub Total 20. Costs: Repossession Charges Are bills/proof attached Late charges Provided for in contract Sales Commission Was resale to a consumer Yes Reconditioning expenses Are reconditioning bills/proof attached Other _________________________ Sub Total Yes Yes $ _____________ $ _____________ $ _____________ $ _____________ $ ____________ No $ ____________ No $ ____________ No $ ____________ Yes No $ ____________ $ ____________ Page 2 of 3 American LegalNet, Inc. www.FormsWorkFlow.com Case No.:__________________ BALANCE OWED $_______________ LESS AMOUNT RECEIVED ON RESALE 21. NET AMOUNT SOUGHT IN DEFICIENCY JUDGMENT $ _______________ $ _______________ I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT AND THAT THIS DECLARATION IS EXECUTED ON: DATE _______________ at (place) _____________________________________, CA ____________________________ (SIGNATURE) ________________________________ (PRINT NAME) Deficiency Judgment- Auto Sale - revised- 9/2015- R.E. Page 3 of 3 American LegalNet, Inc. www.FormsWorkFlow.com