VN033 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address) Telephone Number FOR COURT USE ONLY ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF VENTURA 800 SOUTH VICTORIA AVE. VENTURA, CA 93009 PLAINTIFF DEFENDANT CASE NUMBER: DECLARATION IN SUPPORT OF DEFICIENCY JUDGMENT ON SALE OF VEHICLE I, the undersigned, declare that I am an employee of the plaintiff. My job title is ______________________________ I am authorized to make this declaration and the facts are within my knowledge. 1. The contract which is the subject of this action is dated _____________________ between __________________ Seller, and _____________________ , Buyer. Attach copy. 2. Plaintiff 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. is an assignee is not an assignee, and the contract was assigned on ____________ . Attach copy. 3. The vehicle sold is Year __________ Make ____________________ Model ____________________ . The vehicle was purchased for personal or family use. Financing was seller-assisted. Date of last payment ________________________ Date of repossession ________________________ Date notice of intent to sell mailed (Attach copy) ________________________ Date of resale ________________________ Resale price $ _________________ Fair market value on resale date $ _________________ Low Blue Book $ _________________ The resale was conducted in a commercially reasonable manner as follows: ______________________________ ____________________________________________________________________________________________ Deficiency Computation: Original Contract Price to be Finance .................................................. $ _________________ Finance Charge .............................................................................. $ _________________ Insurance Charge ........................................................................... $ _________________ Other Charges (Describe) _____________________________________ ... $ _________________ _________________________________________________________ ... $ _________________ _________________________________________________________ ...... $ _________________ e. Total Sale Price (total a through d) ................................................................... $ _________________ f. Total paid by buyer before repossession ............................................. $ _________________ g. Amount of rebated finance charge ...................................................... $ _________________ h. Amount of rebated insurance charge .................................................. $ _________________ i. Other ........................................................................................... $ _________________ j. Amount of credits to buyer before re-sale (total f through i ) ................................... $ _________________ a. b. c. d. 14. Mandatory Form VN033 (Rev. 07/12) DECLARATION IN SUPPORT OF DEFICIENCY JUDGMENT ON SALE OF VEHICLE Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com VN033 k. l. m. n. o. p. q. r. s. t. u. v. Balance due on contract before re-sale (e minus j) ................................................ $ _________________ Repossession charge ..................................................................... $ _________________ Bank charges ............................................................................... $ _________________ Commission ................................................................................. $ _________________ Reconditioning .............................................................................. $ _________________ Other (Describe) __________________________________________ ...... $ _________________ Total re-sale charges (total l through p) ............................................................... $ _________________ BALANCE DUE (k + q) ................................................................................... $ _________________ Amount property sold for on re-sale .................................................................. $ _________________ TOTAL DEFICIENCY UPON RE-SALE (r minus s) ................................................ $ _________________ Amounts paid by buyer after re-sale .................................................................. $ _________________ TOTAL DEFICIENCY BALANCE ...................................................................... $ _________________ I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed at ________________________________ , California __________________________________________ PRINT NAME Date: _____________________________________ __________________________________________ SIGNATURE - DECLARANT Mandatory Form VN033 (Rev. 07/12) DECLARATION IN SUPPORT OF DEFICIENCY JUDGMENT ON SALE OF VEHICLE Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com