Certificate of Repossession - REG 119 - Section 1 Vehicle/Vessel Information - Section 2 Repossession Information

Sep 16, 2026

Uploaded by Tawan

Certificate of repossession form used when a vehicle or vessel is repossessed after default under a conditional sale contract or security interest agreement. The form collects vehicle or hull identification, year, make, legal owner/lien information, dates, repossession method, reasons for repossession, and details of how the vehicle or vessel was taken and disposed. It also includes certifications of lawful repossession, notice requirements, commercially reasonable conduct, perjury declarations, and agent signature fields. Includes a note about odometer disclosure requirements.

LanguageEnglish

CategoryForms

FormatPDF

Pages1

AccessFree to download

SECTION 1—VEHICLE/VESSEL INFORMATION

SECTION 2—REPOSSESSION INFORMATION

REASON(S) FOR REPOSSESSION

POSSESSION AND DISPOSITION DETAILS

SECTION 3—CERTIFICATION

CERTIFICATE OF REPOSSESSION If legal owner is not shown on DMV records, the original or a certified copy of the conditional sale contract or security interest agreement must accompany this certification. SECTION 1—VEHICLE/VESSEL INFORMATION | VEHICLE LICENSE PLATE OR VESSEL CF NUMBER | VEHICLE OR HULL IDENTIFICATION NUMBER (VIN/HIN) | YEAR MODEL | MAKE OF VEHICLE OR VESSEL BUILDER | | --- | --- | --- | --- | SECTION 2—REPOSSESSION INFORMATION LEGAL OWNER (NAME OF BANK, FINANCE COMPANY, ETC., OR INDIVIDUAL HAVING A LIEN ON THIS VEHICLE OR VESSEL) ADDRESS (INCLUDE SUFFIX [E. G., AVE., ST., ETC.] AND ANY UNIT NO. [INDICATE STE., ETC.]) CITY STATE ZIP CODE | LIEN/INSTRUMENT TYPE UNDER WHICH THE DEFAULT OCCURRED (CHECK BOX)
CONDITIONAL SALE CONTRACT SECURITY INTEREST AGREEMENT | | DATE CONTRACT/AGREEMENT SIGNED/EXECUTED | | --- | --- | --- | | DATE OF REPOSSESSION | METHOD OF REPOSSESSION (CHECK BOX)
REPOSSESSION BY LICENSED REPOSSESSION AGENCY (B&PC §7500.2) VOLUNTARY SURRENDER BY DEBTOR REPOSSESSION BY LEGAL OWNER OR A BONA FIDE EMPLOYEE OF THE LEGAL OWNER
OTHER (EXPLAIN): | | REASON(S) FOR REPOSSESSION (CHECK BOX) FAILURE TO PAY OTHER (EXPLAIN): | POSSESSION OF THE VEHICLE OR VESSEL TAKEN AT (ADDRESS) | CITY | STATE | ZIP CODE | | --- | --- | --- | --- | REPOSSESSED FROM DEFAULTING DEBTOR(S) (NAME) | ADDRESS OF DEFAULTING DEBTOR CITY STATE ZIP CODE | | | | | --- | --- | --- | --- | | VEHICLE OR VESSEL WAS (CHECK BOX)
DELIVERED TO AUTO AUCTION FOR SALE SOLD THROUGH AUTO AUCTION
SOLD AT PUBLIC SALE SOLD AT PRIVATE SALE LEASED/LICENSED RETAINED | | | DISPOSITION DATE* | | NAME OF AUTO AUCTION, BUYER, OR LESSEE** | | | AUTOAUCTION DEALER NO. | | ADDRESS | CITY | STAT | E ZIP CODE | | *ENTER SALE OR LEASE DATE; IF DELIVERED TO AUTO AUCTION FOR SALE, ENTER DELIVERY DATE. | | | | | **ENTER BUYER OR LESSEE; | IF DELIVERED TO AUTO AUCTION FOR SALE, ENTER NAME OF AUTO AUCTION; | IF SOLD THROUGH AUTO AUCTION, ENTER | BUYER’S NAME. | | SECTION 3—CERTIFICATION | | | | I certify that I, or the firm, company, or corporation I am authorized to represent, am the legal owner within the meaning of California Vehicle Code §§370, 9840 of the above described vehicle (including trailer) or vessel. In good faith and in a commercially reasonable manner, the vehicle or vessel was lawfully repossessed, taken into the legal owner’s possession and disposed of, after default under the terms of a valid lien contract/ agreement, and in full accordance with all applicable California statutes. CONDITIONAL SALE CONTRACT (California Civil Code [Civil Code])– I further certify that, except for a vehicle seized as described in Civil Code §2983 .3 (b) (6), at least fifteen (15) days (twenty [20] days if place of deposit in the mail or place of address is outside California) written notice of intent to sell/dispose this repossessed or surrendered vehicle or vessel, in proper form and content, was given by personal service or by mail at the last known address to all persons liable under the contract as required by Civil Code §2983 .2, and that the debtor/obligor has not cured or was unable to cure (Civil Code §2983 .3) the default which led to the repossession. SECURITY INTEREST AGREEMENT (California Commercial Code [Com. Code])– I further certify that, in proper form and content, a written notice of intent to sell/dispose this repossessed vehicle or vessel was sent to, or notification waiver agreement (Com. Code §9624) obtained from, all persons liable under the security agreement as required by and in the reasonable timeliness stated in Com. Code §§9611-9614, and that neither the debtor nor any other secured party exercised the right to redemption given in Com. Code §9623 prior to the sale. I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct. I further certify (or declare) under penalty of perjury that the repossessi

FAQs

What information is required for the vehicle or vessel under Section 1?

Section 1 requires the vehicle license plate or vessel CF number, the VIN/HIN, the model year, and the vehicle or vessel builder make.

Which types of default/lien instruments can be indicated in Section 2?

Section 2 provides a checkbox to identify the lien/instrument type under which the default occurred, including a conditional sale contract or a security interest agreement.

What certifications and legal notices are covered in Section 3?

Section 3 certifies lawful repossession and disposition after default, adherence to applicable California statutes, and compliance with required written notice rules for conditional sale contracts and security interest agreements. It also includes perjury declarations and confirmation that repossession followed specified California and U.S. code requirements.

Sep 16, 2026

Uploaded by Tawan