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    Cov Application and Affidavit, Chrysler

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    FAQ MD
    The document is an application for a duplicate Certificate of Origin (COV) for a vehicle that was issued by Chrysler LLC. The applicant states that the original COV was lost or mislaid and they are requesting a duplicate. If approved, the applicant agrees to indemnify and hold Chrysler harmless from any claims related to the duplicate COV. The applicant also agrees to return the original COV if it is recovered.

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    Cov Application and Affidavit, Chrysler

    Uploaded by

    FAQ MD
    354 views1 page
    The document is an application for a duplicate Certificate of Origin (COV) for a vehicle that was issued by Chrysler LLC. The applicant states that the original COV was lost or mislaid and they are requesting a duplicate. If approved, the applicant agrees to indemnify and hold Chrysler harmless from any claims related to the duplicate COV. The applicant also agrees to return the original COV if it is recovered.

    Original Description:

    Fill this out to get a Duplicate MCO from the Automobile Manufacture

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    The document is an application for a duplicate Certificate of Origin (COV) for a vehicle that was issued by Chrysler LLC. The applicant states that the original COV was lost or mislaid and they are requesting a duplicate. If approved, the applicant agrees to indemnify and hold Chrysler harmless from any claims related to the duplicate COV. The applicant also agrees to return the original COV if it is recovered.

    Copyright:

    © All Rights Reserved
    Download as RTF, PDF, TXT or read online from Scribd
    Download as rtf, pdf, or txt
    354 views1 page

    Cov Application and Affidavit, Chrysler

    Uploaded by

    FAQ MD
    The document is an application for a duplicate Certificate of Origin (COV) for a vehicle that was issued by Chrysler LLC. The applicant states that the original COV was lost or mislaid and they are requesting a duplicate. If approved, the applicant agrees to indemnify and hold Chrysler harmless from any claims related to the duplicate COV. The applicant also agrees to return the original COV if it is recovered.

    Copyright:

    © All Rights Reserved
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    APPLICATION AND AFFIDAVIT

    FOR DUPLICATE CERTIFICATE OF ORIGIN FOR A VEHICLE (COV)

    STATE OF_____________________________COUNTRY OF__________________________

    The undersigned (“applicant”) hereby requests CHRYSLER LLC. to issue a duplicate of the Certificate of Origin for
    a vehicle (“COV”) issued to applicant for the following described motor vehicle (“vehicle”):

    VIN__________________________________MAKE__________________________________

    MODEL_______________________________YEAR__________________________________

    Applicant states that Applicant is the owner of the vehicle, and that the vehicle’s original CO has been lost, mislaid,
    or defaced: that if the CO has been lost, there has been a due and diligent search for the original CO, but it cannot be
    found.

    Applicant understands that Applicant could be subject to criminal and civil liability for requesting a duplicate COV
    for improper purposes. Applicant also understands that CHRYSLER is justifiably relying upon Applicant’s
    representations contained herein, in acting upon Applicant’s request.

    In consideration of CHRYSLER’S issuance of a duplicate COV, Applicant shall indemnify, defend, and hold
    harmless CHRYSLER and its officers, directors, agents, employees, affiliated entities (including but not limited to
    subsidiaries), successors and assigns, or, from and against, any and all claims and demands which may be made
    against CHRYSLER, whether groundless or otherwise, and for all loss, cost and damage, including all litigation
    expenses and attorney fees arising out of, or in any way connected with the issuance of such duplicate COV of by
    reason of the original COV remaining outstanding. If Applicant recovers the original COV, Applicant shall immediately
    return by certified mail, the original COV to:

    Attention: Central Vehicle Invoicing


    CIMS 484-00-72
    CHRYSLER LLC
    800 Chrysler Drive
    Auburn Hills, MI 48326-2757

    Dated:______________________________ Sworn to and subscribed before me this

    Signed:_____________________________ ________day of_______________, 20____

    Name:______________________________ ___________________________________
    (printed) Notary Public

    By:_________________________________ Date Tern Expires____________________


    (Title)

    ____________________________________ State of____________________________


    (Name of Dealer)

    ____________________________________ ______________________County, ss.


    (Address in Full)
    ____________________________________

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