LEMON LAW COMPLAINT FORM p74:::/c70/

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1 Texas Department of Motor Vehicles LEMON LAW COMPLAINT FORM p74:::/c70/ Oer s 4v144%' Instructions: Forms submitted incomplete and/or without the attachments listed below may cause a delay that could resu complaint being rejected due to untimely filing. Return this form with the following attachments: 1) Purchase order or sales contract. 2) Repair order(s). 3) Copy of written notice to manufacturer, converter and/or distributor. 4) Extended service contract, if applicable. 5) Lease agreement, If applicable. 6) Other relevant information. If you are seeking repurchase or replacement of your vehicle, along with the attachments you must include a $35 tiling fee. You can submit the fee by check or money order payable to the Texas Department of Motor Vehicles. Do not mail cash. Send to: Texas Department of Motor Vehicles, PO Box 13044, Austin, TX If you are seeking repairs only, send this form and the requested attachments to: Texas Department of Motor Vehicles, 4000 Jackson Ave., Austin, TX OWNER: Ronald Fields MAILING ADDRESS: 6639 Halcyon Days Drive CITY: Humble STATE: Texas ZIP: WORK PHONE: HOME PHONE: FAX: ADDRESS: CHECK ALL THAT APPLY: Ei NEW 17 USED n DEMO El PROGRAM El LEASE ci CONVERSION YEAR: 2013 MFG/MAKE: Dodge VIN: [ MODEL: Ram 3500 DATE PURCHASED: 7/15/2013 MILEAGE*; CURRENT AT DELIVERY: 10 DATE 24,000 MILES REACHED: 5/11/2014 *Not applicable to Towable Recreational Vehicles CONVERSION CO: LEASE CO: SELLING DEALER: Mae Haik CITY: Houston SERVICING DEALERS 1) Mac Halk CITY: Houston DEALER ADDED OPTIONS: 2) Mac Haik CITY: Houston 3) Mac Haik CITY: Houston WHAT REMEDY ARE YOU SEEKING?: Li REPURCHASE/REPLACEMENT or REPAIRS Qr r;t11 A,* ii, go 1 oi LL $ P,4*OCT.2P.14

2 EXISTING PROBLEMS LOG You MUST cornotota this section on this form or the (twin wilt be returned as incornpfete. "'See Attached" or equivattnt is NOT a substitute for completion. You may make copies of this page to address additional concerns. Description of onp problem that ONTINUES TO EXIST: Repair visits Dale in Date Mileage. Ctledc onsiine light on 1 screen on dash shows 100% exhaust niter full-won't gegen 1st visit : jot) nd visit: )ob I : Job th '40. job st visit 5/10/2014 5/ '1E /9/2014 6/13/ r11 visit 7/28/2014 8/ /13/2014 8/29/2014 E)3461 Description of one Problem that MIT1NOES TO EXIST Repair Visits Date in Date Out lineage Chect engine light on / screen on dash shows 100% exhasu I filler ilk- won't regen 5.14A visit 9/17/2014 9/26/ t- 44--% visit 10/3/2014 stilt there th vislt: Obi, th visit: Job Description of one problem that CONIIKOLS Lip EXIST: Repair Visits Date In Date Out ttifileage 1st visit 2nd visit Description of orteproblein that CONTINUES tp EX Ji Repair Visits Date In Date Out Mlie age 1-1st visit - 2nd visit DescriPtion of one probtem that cprni WES TQE.)(15T: Repair Visits Date In Date Out Mileage 1st visit 2od visit cht., ; 1 ('.IIfI 1,

3 El YES g/no The manufacturer, converter or drstributor of the vehicle (N)1 THE DEALER) was given written notice of The problem(s), on,20 IF YOU ANSWERED NO, RtjEAsE SEND A LETTER TO THE MANUFACTURER CONVERTE.R OR DISTRIBUTOR AS SOON AS POSSIBLE (CERTIFIED MAILIRETURN RECEIPT IS SUGGESTED) AND INCLUDE A COPY OF THE LETTER WITI-1 THIS COMPLAINT FORPA. YS DM0 The vehicle has been inspected by a laotory representative. It you answered yes, please provide (he inspection dale, location, personnel involved, and outcoirne- Use a separate sheet if needed. DATE; S"-r- LOCATION: c BY WHOM: -% p OUTCOME: I UNDERSTAND THAT THE INFORMATION I AM SUBPAITTING MAY BE SHARED wrni THE OTHER INTERESTED PARTIES TO MY COMPLAINT IN ORDER TO RESOLVE THIS MATTER. I HEREBY CERTIFY, UNDER PENALTY OF PERJURY, THAT ALL STATEMENTS IN TI-US COMPLAINT ARE TRUE A a.z - CT. SIONATURE OF VE DATE: Lit The Texas CrePartrporit of Ma(or Vehicles rnainiatos the ink:1million collected through thts form. With few exceptions, yoy gre ergioed On (ectuest ii e informed about the infornlation that we coiled about you. Under Sachoo 5, and 5s2023 at the Government Code, you Msoo antit$w to rogeivo and review thir. information, Under Sectlon at the Government Code, you are also entitled to have us Gorrac:t Information about you that is inc.orrect. ).-Y!.:7,:kr 414. '1 I

4 10/21/ : nY3 FFDEX OFFICE 1327 RAGC 01 October 20, 2014 To Whom it may concern: 1, Ronald Fieids, purchased a new Dodge Ram 3500, yin # from Mac Haik on July 15, purchased this vehicle to use in my business which consists of the pickup and delivery of various commodities during a specified time frame. To be successful in this business,1 must-rely on the-dependability and peffvf mance of my vehicle. Unfortunately, this vehicle has not been dependable nor has it performed as it should be expected considering it was purchased oew and 1 have been the only owner. have had this vehicle in the shop on six different occasions. The first two times it went to the shop, the truck was less than one year old. It has been for the exact same reason that this truck has been in the shop six times. Five times I have picked this truck up with the reassurance that the problem has been corrected. Currently the truck is in the shop, for the same problem, for the sixth time. have been more than patient, and have given the dealership ample time to get this problem resolved. Not only has it been a huge inconvenience for me to have to take this truck back and forth to the shop, but it has also become a financial hardship for me. The dealer has not been willing to provide me a loaner truck, and because of that, I have had to pay $ a week to rent a replacement vehicle for the time that my truck is in the shop. In addition to the rental of the truck, F have also lost money on two jobs that I was under because the truck broke down and had to be taken back for service.

5 10/21/2014 '09: FEDEX Of FICE 1027 AGF 0? As I have previously stated, I have been patient. I have given the dealership plenty of time to resolve this problem. I do not believe it is reasonable to expect me to continue to deal with this situation. It is not reasonable to expect me to continue to put my business in jeopardy, and to continue to rent a replacement vehicle while the dealership fails to make any resolution in this matter. I request a replacement for this vehicle as it has become obvious that the dealership is unable to put this vehicle in proper working order. I purchased this truck in good faith and it is in good faith that I request resolution of this matter. RonaPd Fields