AUTOMOBILE ADDENDUM
PLEASE FILL OUT THE ANSWERS BELOW CAREFULLY AND FULLY. IT IS VERY IMPORTANT
THAT WE HAVE THE ANSWERS TO THE QUESTIONS BELOW IN ORDER TO PROPERLY
INVESTIGATE YOUR COMPLAINT!
1. Name of salesperson who handled the transaction: _________________________
__________________________________________________________________________
2. Home address and telephone number of salesperson listed in #1 above: _____
___________________________________________________________________________
3. Date of birth of salesperson listed in #1 above: _________________________
___________________________________________________________________________
4. Was the check for the full purchase price or was it a down payment? ______
___________________________________________________________________________
5. Was the car financed by the dealership or by another entity? _____________
___________________________________________________________________________
6. What is the name of the institution that financed the car? _______________
___________________________________________________________________________
7. Is the checkwriter making payments? [This is very important!]
______ Yes ______ NO
______ Is ______ months behind
______ Has made no payments
8. Has the car been repossessed? If YES, please specify:
__________ By the finance company—Date of Repossession_____________________
__________ By the dealership------Date of Repossession_____________________
9. VIN of car: (Please indicate alpha characters.)
___________________________________________________________________________
10. License plate number of the car: ________________________________________
All of the information above is true and correct to the best of my knowledge.
I have made diligent efforts to determine the correct answers to the questions
above.
_______________________________________
SIGNATURE
Notarization
Subscribed and sworn to before me by the said ________________________________
on this the ________ day of ____________________, 200_______.
___________________________________________
NOTARY PUBLIC IN AND FOR THE STATE OF TEXAS
Notary Stamp Commission expires: ___________________