CONSUMER COMPLAINT FORM ENFORCEMENT DIVISON 2013-2026

SEND TO TXDMV - ENFORCEMENT DIVISION CAR DEALER - NEW COMPLAINTS 4000 JACKSON AVE AUSTIN TEXAS 78731 888/368-4689 FAX TO 512/302-2328 OR EMAIL TO MVD-SCANCENTER TXDMV. DATE SIGNATURE BY SUBMITTING THIS FORM YOU ARE CONSENTING TO THE DISCLOSURE OF THIS INFORMATION IN ANY MANNER NECESSARY TO INVESTIGATE AND PROSECUTE THIS CLAIM. B Dealer did not pay off the lien on my trade-in vehicle. C Odometer broken/changed/rolled back. FT PLEASE EXPLAIN BELOW O OTHER - EXPLAIN IN DETAIL INCLUDING ITEMS FROM ABOVE. ATTACH ADDITIONAL SHEETS IF NECESSARY THE UNDERSIGNED HEREBY CERTIFIES UNDER PENALTY OF PERJURY THAT ALL STATEMENTS IN THIS COMPLAINT ARE TRUE AND CORRECT. GOV THE TEXAS DEPARTMENT OF MOTOR VEHICLES MAINTAINS THE INFORMATION COLLECTED THROUGH THIS FORM. WITH FEW EXCEPTIONS YOU ARE ENTITLED ON REQUEST TO BE INFORMED ABOUT THE INFORMATION THAT WE COLLECT ABOUT YOU. UNDER 552. 021 AND 552. 023 OF THE TEXAS GOVERNMENT CODE YOU ALSO ARE ENTITLED TO RECEIVE AND REVIEW THE INFORMATION. UNDER 559. MOTOR VEHICLE DEALER CONSUMER COMPLAINT FORM ENFORCEMENT DIVISON Form ENF-CC1 07/13 Replaces Form MVD-ENF-CC1 Page 1 of 2 1 YOUR INFORMATION NAME Please Print Clearly HOME ADDRESS CITY HOME PHONE STATE ZIP DAY PHONE FAX HOW DO YOU WANT US TO CONTACT YOU EMAIL CELL PHONE EMAIL ADDRESS HOME FAX MAIL TO ADDRESS 2 PERSON COMPLAINING OF BUSINESS NAME NAMES OF PERSON S YOU SPOKE TO PHONE IS THIS THE SAME ADDRESS WHERE YOU FIRST SAW THE VEHICLE YES NO IF NOT WHERE DID YOU FIRST SEE VEHICLE IF YOU ARE A LICENSEE OF MVD SKIP TO NUMBER 7 3 DESCRIPTION OF VEHICLE DID YOU BUY THIS VEHICLE NEW OR USED MAKE BODY STYLE USED YEAR MODEL COLOR HOW MANY PAPER TAGS DID YOU RECEIVE VIN NUMBER HAVE YOU RECEIVED YOUR METAL PLATES WHAT WAS THE NUMBER ON THE TAGS 4 INTERNET SALE NAME OF WEBSITE VEHICLE ON EBAY CRAIG S LIST NEW AUTOTRADER DEALER SITE OTHER-- LIST NAME 5 SALE/LEASE INFORMATION WAS THIS A LEASE DATE OF SALE DID YOU PAY CASH SALES PRICE IF YES DID YOU PAY TT L AT THE SAME TIME DID YOU SIGN A BAILMENT OR CONDITIONAL CONTRACT SUBJECT TO FINANCING BEING FOUND DID YOU FINANCE WITH THE DEALER DID YOU RECEIVE A COPY OF THE SALES CONTRACT AND ALL OTHER PAPERS YOU SIGNED DID YOU SIGN A FORM TO CHOOSE WHAT COUNTY TO REGISTER THE VEHICLE IN WAS THERE MONEY OWED ON YOUR TRADE-IN DID YOU SIGN A POWER OF ATTORNEY TO THE DEALER 6 TRADE-IN VEHICLE DID YOU TRADE IN A VEHICLE DID THE DEALER OFFER A LIMITED WARRANTY ON THE BUYER S GUIDE DID YOU BUY AN EXTENDED WARRANTY NO LIST LIEN HOLDER DID YOU GIVE DEALER THE TITLE ON YOUR TRADE-IN VEHICLE 7 WHAT IS YOUR COMPLAINT Please note that if you bought this vehicle from an unlicensed dealer this agency cannot assist you with this complaint. If you bought this vehicle as a new vehicle and the vehicle is still under warranty and your complaint is about mechanical problems please do not file this complaint but contact the Consumer Affairs Section about filing a Lemon Law complaint http //txdmv.gov/motorist/consumer-protection/ lemon-law or call 1-888-368-4689 CHECK ALL THAT APPLY A Dealer has not transferred title to my name/have not received metal plates. MAIL THIS FORM AND COPIES OF THE COMPLETE SALES CONTRACT AND ANY OTHER DOCUMENTS PERTAINING TO THE SALE TO THE FOLLOWING ADDRESS. FAILURE TO INCLUDE THESE DOCUMENTS WILL DELAY THE PROCESSING OF YOUR COMPLAINT. UNDER 552. 021 AND 552. 023 OF THE TEXAS GOVERNMENT CODE YOU ALSO ARE ENTITLED TO RECEIVE AND REVIEW THE INFORMATION. UNDER 559. 004 OF THE GOVERNMENT CODE YOU ARE ALSO ENTITLED TO HAVE US CORRECT INFORMATION ABOUT YOU THAT IS INCORRECT.