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NAME
STATE
ZIP CODE
First-Class
Postage
Required
?
? PROBLEMS WITH
?
A VEHICLE
PURCHASE...
?
? CAN DMV HELP ME?
?
Filing a Complaint with the
?
Department of Motor Vehicles
?
?
?
A Public Service Agency
?
?
STATE OF CALIFORNIA
Contact
New Text
STATE OF CALIFORNIA
INVESTIGATIONS
READ THE ATTACHED BROCHURE BEFORE COMPLETING YOUR COMPLAINT. NOT ALL COMPLAINTS ARE
INVESTIGATED.
Instructions: Type or print the following information for the person filing the complaint and the Business/Seller the complaint is
against.
SECTION 1 COMPLAINANT (Person Filing Complaint)
NAME (FIRST, MIDDLE INITIAL(S), LAST)
Delwin Sanchez
STREET OR P. O. BOX
APT. NUMBER
A418114
CITY
Bonita
STATE
ZIP CODE
Ca
91902
( 619 ) 829-8979
( 619 ) 829-8979
SIGNATURE
DATE
01/23/2014
Matt Hylme
STREET OR P. O. BOX
TELEPHONE NUMBER
( 619 ) 453-1433
San Diego
DID YOU SEND A PREVIOUS COMPLAINT TO DMV AGAINST THIS BUSINESS/SELLER?
STATE
ZIP CODE
Ca
92115
IF YES, WHEN?
No
Yes
No
If the transaction occurred at a location different than the business address above, please list it here.
STREET OR P.O. BOX
CITY
STATE
ZIP CODE
1986
MAKE
Yamaha
JYA1UHOO4GA000610
MODEL
Fazer
STATE
20U9470
CA
PURCHASE DATE
12/12/2014
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Clear Form
SECTION 4 COMPLAINT (continued) IF MORE SPACE IS NEEDED, ATTACH ADDITIONAL SHEETS OF PAPER
STREET ADDRESS
ZIP CODE
Artesia
Bakersfield
Brisbane
Chula Vista
El Monte
Fresno
Milpitas
Mission Hills (Granada Hills)
Los Angeles (Culver City)
Los Angeles (LA Metro)
Los Angeles (Lincoln Park)
Riverside
Rocklin
Orange
Sacramento
San Diego
San Diego (Mission Valley)
Stockton
Vallejo
Ventura
West Covina
90701-2762
93313-2117
94005-1025
91910-1040
91731-2912
93706-8007
95035-4567
91345-1353
90066-6089
90007-4370
90031-3120
92507-0738
95677-2862
92868-6902
95828-0932
92117-4990
92108-3847
95210-5625
94590-2904
93003-5717
91790-4201
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