Vehicle Taken By Deception - Title Dispute Questionnaire

Form Account (optional)

New Users / Returning Users CLICK HERE to setup or return to your account for this form. Creating an account enables you to return to this form and your submitted results. An account will also enable you to partially complete this form and return later to finish the form. The account you establish is only for this form.

1. Your Name:

2. Your e-mail address:

3. Your Telephone number:

4. Your postcode:

5. What is the approximate value of the subject vehicle?

6. Where did you advertise the vehicle for sale?

7. Are you still in possession of the vehicle?

Yes

No

8. On the day you 'sold' the vehicle what registration number was displayed:

9. Do you believe the registration mark displayed at disposal remains on the vehicle?

No

Yes

I do not know yet

10. If the registration mark displayed at disposal has changed, what is the current registration mark:

11. On what date did the disposal occur?

12. At what address did the disposal occur. Please try to be as specific as possible (note - the postcode is requested in the next question):

13. What is the postcode for the address at which the disposal occured:

14. What was the name of (or used by) the person who acquired the vehicle from you?

15. If the person that acquired the vehicle from you was a trader or a company, what company name did they use or appears on their receipt (documentation)?

16. What was the address of the person who acquired the vehicle (note – the next field asks for the postcode. If this address is the same as at question '12' (above), please enter 'as 12':

17. What is the postcode for the address of the person who acquired the vehicle. If this is as at 12, please still enter the information:

18. What was the mobile telephone number of the person who acquired the vehicle

19. What was the home or work (land line) telephone number of the person who acquired the vehicle

20. Do you have any reason to believe that the person who acquired the vehicle gave a false name?

Yes

No

I do not know

21. If the person acquiring the vehicle undertook a pre-purchase enquiry of the vehicle, to your knowledge, with whom was this performed?

22. With regard to the Police, please provide the name, ‘collar number’, station, address and reference for the officer dealing with the investigation. If the matter has not yet been reported to the police, REPORT THE LOSS URGENTLY.

23. Please use this part of the form to provide us a little more information about what happened to cause you to be in this situation:

Thank you for taking the time to complete this form. By clicking on the submit button below the information you have provided will be sent to us and we will return to you within the next 24 hours, providing documentation.