This article covers how vehicle repossession works in New York state and what your rights are as a New Yorker. Note: This form must be downloaded to your device in order to be filled out properly.It must be opened in Adobe Acrobat Reader. Complete in blue or black ink or print form. 2. No. INSTRUCTIONS > Lenders must complete boxes. If Lender is selling vehicle, Purchaser information is required in boxes. BORROWER. LENDER. What do I need to fill out the form? After downloading and printing applicable forms, please fill out and mail to: Suffolk County Police Department Headquarters 30 Yaphank Ave Yaphank, NY 11980. This form has been combined to include the: • DR 2412 Statement of Repossession. Application for a summons DC-430 File with a verified complaint to request the court to issue a summons if you do not have an attorney.