Vehicle Case Intake Form

Instructions: Please complete the below information to the best of your ability. You may cut and paste this form into an email or save a pdf of this and send via email to info@wadebtlaw.com or print and send us in hard copy to 2611 NE 113th St Suite 300A, Seattle WA, 98012. Email is preferred but mail is accepted.

1. Contact Information: Please provide full spelling of first and last name and middle initial. Please provide a contact phone and email. Let us know anything else specific to help us contact you such as a name pronunciation, preferred pronouns, hearing impairment, etc.

2. Co-signers/Co-owners: If there are any co-signers or co-owners on the vehicle and it would be relevant to your case, please list each one and their relationship. This generally matters for tow, repossession, ticket, or other cases where there may be financial liability for the other party.

3. Please select the area/s of law that best fits your situation (circle or check all that apply) and fill out relevant sub-questions:

a) Auto/Vehicle Dealer Fraud relating to a Sale

Name/Location of Dealer:
Date of Purchase:
Brief narrative of issue:

b) Auto/Vehicle Repair Fraud

Name/Location of Repair Shop:
Any quotes given to you:
Date your vehicle was dropped off for repair:
Amount of final invoice:
Brief narrative of issue:

c) Collection matter relating to a vehicle (purchase, repo, tow, ticket, personal injury, etc)

Name of Collector/Law Firm:
Has a lawsuit been served to you? If yes, when?:
Amount of claim:
Brief narrative of issue:

d) Lemon Law (new vehicle)

Name/location of Dealer:
Make/Model/Year of Vehicle:
Date of purchase:
Total number of days in repair shop:
Brief narrative of dates returned for repair and outcome:

e) Lemon Law/Warranty of Merchantability (used vehicle)

Name/location of Dealer:
Make/Model/Year of Vehicle:
Date of purchase:
Did the contract say “as is”:
Brief narrative of issues, repair orders, any third party repair costs:

f) Repossession

Name of Creditor (if known):
Name of Tow Company (if known):
Make/Model/Year of Vehicle:
Estimated blue book value:
Estimated contract amount due:
Have you received a demand or a lawsuit? Is yes, date/s and amount/s demanded:
Brief narrative:

g) Tickets or liability on a vehicle after you sold it

When did you sell the vehicle?
Who did you sell the vehicle to and what is their relationship to you?
Did you report the sale to the DMV? Is so, when?
Do you know if the seller reported the sale?
Who is creditor trying to collect against you?
How much are they claiming you owe?
Have you been served? If so, when?
Brief narrative of relevant facts:

h) Tow and/or Impound

If the tow is related to non-payment on the loan, please fill in all of the repo questions above
If the auction has already occurred or if you have received a demand for payment, fill out the collection questions above
Name of Tow Company (if known):
Date of Tow:
Did you get notice of the Tow, if so, when?:
Date of Auction (if known):
Did you get notice of the auction, if so, when?:
Did police order the impound?:
Brief narrative:

i) Other

Please indicate specifics…such as my ex took my car, what are my rights?
Narrative: