Form Mvd - 10041 - Release Of Lien - State Of New Mexico Motor Vehicle Division

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MVD - 10041
STATE OF NEW MEXICO - MOTOR VEHICLE DIVISION
REV. 05/90
RELEASE OF LIEN
VEHICLE / VESSEL INFORMATION
Year
Make
Model
Type
State Registered
Engine No. (If applicable)
Vehicle / Hull ID Number
License Plate or Boat No.
REGISTERED OWNER INFORMATION (As shown on encumbered title.)
Name
Address
City, State, Zip Code
LIENHOLDER INFORMATION (As shown on encumbered title.)
Name
Title Number
Address
Lien Maturity Date
City, State, Zip Code
I CERTIFY THAT THE LIEN OF RECORD AGAINST THE VEHICLE OR VESSEL DESCRIBED ABOVE HAS
BEEN PAID IN FULL AND IS HEREWITH RELEASED.
Printed Name and Title of Lienholder or Authorized Agent
Telephone Number
Signature of Lienholder or Authorized Agent
Date

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