LEMON LAW COMPLAINT FORM - allenstewart.com · Texas Department of Motor Vehicles In ... 552.130...
Transcript of LEMON LAW COMPLAINT FORM - allenstewart.com · Texas Department of Motor Vehicles In ... 552.130...
LLL LEMON LAW COMPLAINT FORM
Texas Department of Motor Vehicles
Instructiong
Forms submitted incomplete and/or without the attachments listed below may cause a delay that could result in ye complaint being rejected due to untimely filing. Return this form with the following attachments: 1) Purc hate order or sales contract. ty 2) Repair order(s). %." 3) Copy ot written notice to manufacturer, converter and/or distributor. 4) Extended service contract, if applicable. 5) Lease agreement, if applicable. 6) Other relevant information. V.
if you are seeldng repurchase or replacement of your vehicle, along with the attachments you must include a $35 filing fee. You can submit the fee by check or money order payable to the Texas Department of Motor Vehicles. Do not mall cash. Send to:
Texas Department of Motor Vehkles, PO Box 13044, Austin, TX 78711-3044. If you are seeking repairs only, send this form and the requested attachments to:
Texas Department of Motor Vehicles, 4000 Jackson Ave., Austin, TX 78731.
OWNER: Robert Niknam
MAILING ADDRESS: 11411 Creekstone Ln
CITY: San biego STATE: CA ZIP: 92128
WORK PHONE: 415-889-9490 HOME PHONE: 415-889-9490 FAX:
E-MAIL ADDRESS: 552.137
CHECK ALL THAT APPLY: DEMO p PROGRAM 1=I LEASE El NEW []USED
YEAR: 2013 MFG/MAKE: DODGE/SRT MODEL: VIPER GTS
CONVERSION
VIN: 552.130 DATE PURCHASED: 02/26/2014
MILEAGE*: CURRENT 4950 AT DEUVERY: 10 DATE 24,000 MILES REACHED: NA
*Not applicable to Towable Recreational Vehicles
CONVERSION CO:
LEASE CO:
SELLING DEALER: HOYTE DODGE CITY! SHERMAN, TX
SERVICING DEALERS 1) RANCHO CHRYSLER JEEP DODGE CITY: SAN DIEGO, CA
2)
CITY:
3)
CITY:
DEALER ADDED OPTIONS: VIPER CARBON FIBER AERO KIT (TWO FRONT WIND SPLITTERS, REAR SPOILER) $300a00
WHAT REMEDY ARE YOU SEEKING?: REPURCHASE/REPLACEMENT or fl REPAIRS
LL $35
0027? j *CFS 11.14
EXISTING PROBLEMS LOG You MUST complete this section on this form or the form will be returned as incomplete.
or equivalent is NOT a substitute for completion. You may make copies of this page concerns.
"See Attached" to address additional
Description of one problem that CONTINM TO _EXIST1
WINDOW LEAK: THE WINDOW IS NOT SEALED PROPERLY, VEHICLE CONTINUES TO WHISTLE AND LEAK.
Repair Visits Date In Date Out Mileage
1st visit 10/15/14 10/1 5/14 3500
2nd visit 11/07/14 11/1 2/14 4775
3rd visit 11/14/14 11/204 4920
4th visit 11/26/14 12/05/14 5079
Description of one problem that CONTINUES TO EXIST: Repair Visits Date In Date Out Mileage
PAINT ISSUES WITH THE VEHICLE. THE VEHICLE WAS NOT PAINTED CORRECTLY. THE BLACK STRIPES HAVE SPLOTCHES OFRED IN THEM, THE RED PAINT IS SO THIN ON SOME AREAS THE PRIMER IS SHOWING THROUGH, *NO ATTEMPT HAS BEEN MADE TO CORRECT THIS, DEALERSHIP HAS BEEN AUTHORIZED TO PAINT. DEALERSHIP ADVISED CANNOT MATCH FACTORY PAINT COLOR AND QUALITY.
1st visit 10/15/14 10/15/14 3500
2nd visit
3rd visit
4th visit
Description of one problem that CONTINUES TO EXIST: Repair Visits Date In Date Out Mileage
REAR GLASS ARCING CAUSING ELECTRICAL SHOCK WHEN THE DEFROSTER IS ON, **THERE IS A RECALL FOR THIS ON 2013MY VIPER, BUT DUE TO THE INABILITY TO PROVIDE FACTORY PAINTED TRUNK LID WITH INTEGRATED GLASS, DEALERSHIP HAS NOT ATTEMPTED, AS CANNOT MATCH FACTORY PAINT COLOR AND QUALITY.
,
1st visit
2nd visit
- 3rd visit
4th visit .. .. .
Description of one problem that CANTINUES TO EXIST: Repair Visits Date In Date Out Mileage
1st visit
2nd visit
3rd visit ,
4th visit
Description of one problem that CONTINUES TOEXISTI. Repair Visits Date In Date Out Mileage
1st visit
2nd visit
3rd visit
4th visit
1,:ra: F111 110 lt.fri 04 11' 1›.no
SIGNATURE OF
71.
IZ YES L NO The manufacturer, converter or distributor of the vehicle (NOT THE DEALER) was given
written notice of the problem(s), on THURSDAY, OCTOBER 2ND , 2014 .
IF YOU ANSWERED NO, PLEASE SEND A LETTER TO THE MANUFACTURER, CONVERTER OR DISTRIBUTOR AS SOON AS POSSIBLE (CERTIFIED MAILIRETURN RECEIPT IS SUGGESTED) AND INCLUDE A COPY OF THE LETTER WITH THIS COMPLAINT FORM.
YES LI NO
The vehicle has been inspected by a factory representative. If you answered yes, please provide the inspection date, location, personnel involved, and outcome. Use a separate sheet if needed.
DATE: 10/15/14 LOCATION: RANCHO CHRYSLER, SAN DIEGO, CA
BY WHOM: 5TAN - CHRYSLER FIELD ENGINEER.
OUTCOME: STAN ACKNOWLEDGED AND TOOK PHOTOS OF THE PAINT PROBLEMS, HEARD
WHISTLING AND WIND NOISE ON TEST DRIVE, COMMITTED TO CALL BACK TO REPAIR. VEHICL
HAS SINCE BEEN TO DEALER 4 TIMES FOR THE WIND NOISE ISSUES.
I UNDERSTAND THAT THE INFORMATION I AM SUBMITTING MAY BE SHARED WITH THE OTHER INTERESTED PARTIES TO MY COMPLAINT IN ORDER TO RESOLVE THIS MATTER.
I HEREBY CERTIFY, UNDER PENALTY OF PERJURY, THAT ALL STATEMENTS IN THIS COMPLAINT ARE TRUE AND CORRECT.
WNER/LESSEE ii51 14
DATE:
The Texas Department of Motor Vehicles maintains the information collected through this form. Will few exceptions, you are entitled on request to be informed about the information that we collect about you. Under Section 552.001 and 552.023 of the Government Code, you also are entitled to receive and review ths information. Under Section 559.004 of the Government Code, you are also entitled to have us correct information about you that is incorrect.
1-141
1 ni 3
Et< MOTOR VEHICLE DEALER
CONSUMER COMPLAINT FORM - ENFORCEMENT DIVISON
Form ENF-CC.1 ( 02113)
(Replaces Form PAVD-ENF-6C1) Pawl 1 of 2
Texas Department of Motor Vehicles
1) YOUR INFORMATION: NAME (Please Print Clearly): Denise Bernard
HOME ADDRESS: 14376 Walker Rd.
CITY: Conroe STATE: TX. ZIP: 77302 281 ) 572-1733 HOME PHONE: CELL PHONE: DAY PHONE. ( 281 ) 512-1733
EMAIL ADDRESS: FAX # (
HOW DO YOU WANT US TO CONTACT YOU? D EMAIL E HOME D DAY PHONE FAX MAIL ETO ADDRESS
2) PERSON COMPLAINING OF: BUSINESS NAME: Robbins Chevrolet Company
NAMES OF PERSON(S) YOU SPOKE TO: ADDRESS: 18611 Eastex Freeway CITY: Humble ZIP: 77338 PHONE: ( 281 ) 446-3021
IS THIS THE SAME ADDRESS WHERE YOU FIRST SAW THE VEHICLE? El YES 0 NO
IF NOT, WHERE DID YOU FIRST SEE VEHICLE? IF YOU ARE A LICENSEE OF MVO, SKIP TO NUMBER 7
3) DESCRIPTION OF VEHICLE: DID YOU BUY THIS VEHICLE NEW OR USED? LE NEVV ['USED MAKE: Chevrolet BODY STYLE: HHR COLOR: Orange
YEAR MODEL: 2008
HOW MANY PAPER TAGS DID YOU RECEIVE? I VIN NUMBER: 552.130
WHAT WAS THE NUMBER ON THE TAGS? HAVE YOU RECEIVED YOUR METAL PLATES? ZYES ONO
4) INTERNET SALE: NAME OF WEBSITE VEHICLE ON: EBAY: LI AUTOTRADER: D
DEALER SITE: Z
CRAIG'S LIST: 111 OTHER— LIST NAME:
5) SALE/LEASE INFORMATION: WAS THIS A LEASE? fl YES El NO
DATE OF SALE; 2129/2008 SALES PRICE: 21,284.
DID YOU PAY CASH? EvEs NO IF YES, DID YOU PAY TT&L AT THE SAME TIME? [DYES NO
DID YOU SIGN A BAILMENT OR CONDITIONAL CONTRACT SUBJECT TO FINANCING BEING FOUND? OYES El NO
DID YOU FINANCE WITH THE DEALER? EYES D NO
DID YOU RECEIVE A COPY OF THE SALES CONTRACT AND ALL OTHER PAPERS YOU SIGNED? EYES ENO DID YOU RECEIVE A COPY OF THE BUYER'S GUIDE? El YES D NO
DID THE DEALER OFFER A LIMITED WARRANTY ON THE BUYER'S GUIDE? YES Ei NO
DID YOU BUY AN EXTENDED WARRANTY? OYES NO
DID YOU SIGN A POWER OF ATTORNEY TO THE DEALER? EYES ENO
DID YOU SIGN A FORM TO CHOOSE WHAT COUNTY TO REGISTER THE VEHICLE IN? EYES LINO
6) TRADE-IN VEHICLE: DID YOU TRADE IN A VEHICLE? EYES LI NO VIN NUMBER' 552.130
WAS THERE MONEY OWED ON YOUR TRADE-IN? El YES El NO LIST LIEN HOLDER
DID YOU GIVE DEALER THE TITLE ON YOUR TRADE-IN VEHICLE? DYES Z NO
TXDTO 29211%
ENFORCEMENT DIVISION
RECEIVED DEC 29 2014
TEXAS DEPARTMENT OF MOOR VEHICLES MOTOR VEHICLE DIVISION
Form Ef4F-CC1 (P7/13) Page 2 of 2
7) WHAT IS YOIM COMPLAINT? Please note that if you bought this vehicle from an unficensed 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; y. r rotectiottl lemon-law or 4-all 1-888-368-4689
CHECK ALL THAT APPLY:
A) Dealer has not transferred title to my name/have not received metal plates. (FT) (PLEASE EXPLAIN BELOW)
B) Dealer did not pay off the lien on my trade-in vehicle. L. (FL) (PLEASE EXPLAIN BELOW)
C) Odometer broken/changed/roiled back. fl (00) (PLEASE EXPLAIN BELOW)
0) OTHER - EXPLAIN IN DETAIL, INCLUDING ITEMS FROM ABOVE, ATTACH ADDITIONAL SHEETS IF NECESSARY: The vehicle has Locked me in. The door locks have stuck front date of purchase. Is being looked in your vehicle dangerous? Its been in dealer 9 times for door locks sticking. IT goes into dealer and in a couple of months to a year the door locks start sticking 'again. I fear for my life. I have video of the door locks sticking on a slim card. Have spoke with GM and dealer_ What do you !consider dangerous? Would you like to be locked in your vehicle. Have copys of all 9 work orders. Locking someone in some were should be aginst the law.
_ THE UNDERSIGNED HEREBY CERTIFIES, UNDER PENALTY OF PERJURY, THAT ALL STATEMENTS IN THIS COMPLAINT ARE TRUE AND CORRECT.
DATE: 12-22-20014 t1:021er ee--/ `4ef/1
IGNATURE
BY SUBMITTING THIS FORM, YOU ARE CONSENTING TO THE DISCLOSURE OF THIS INFORMATION IN ANY MANNER NECESSARY TO INVESTIGATE AND PROSECUTE THIS CLAIM. 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. SEND TO:
TKOMV - ENFORCEMENT DIVISION FAX TO: 512/302-2328 CAR DEALER - NEW COMPLAINTS OR EMAIL TO: [email protected] 4000 JACKSON AVE AUSTIN, TEXAS 78731 888/3684689
THE TEXAS DEPARTMENT OF MOTOR VEHICLES MAiNTAINS THE INFORMATION COLLECTED THROUGH THIS FORM. WITH FEW EXCEPTIONS Tot) 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 §559.004 OF THE cOvERNMENT CODE YOU ARE ALSO ENTITLED TO HAVE US CORRECT INFORMATION ABOUT YOU THAT IS INCORRECT_