The form shall only contain the following information prior to it being filled out by the manufacturer:
WARRANTY BUYBACK NOTICE
(Check One)
[] This vehicle was repurchased by the vehicle's manufacturer after the last retail owner or lessee requested its repurchase due to the problem(s) listed below.
[] THIS VEHICLE WAS REPURCHASED BY ITS MANUFACTURER DUE TO A DEFECT IN THE VEHICLE PURSUANT TO CONSUMER WARRANTY LAWS. THE TITLE TO THIS VEHICLE HAS BEEN PERMANENTLY BRANDED WITH THE NOTATION "LEMON LAW BUYBACK." Under California law, the manufacturer must warrant to you, for a one year period, that the vehicle is free of the problem(s) listed below.
V.I.N. | Year | Make | Model |
Problem(s) Reported by Original Owner | Repairs Made, if any, to Correct Reported Problem(s) |
Signature of Manufacturer | Date |
Signature of Dealer(s) | Date |
Signature of Retail Buyer or Lessee | Date |
Ca. Civ. Code § 1793.24