Mva Application For Lien Code Assignment And/or Enrollment/change In Electronic Lien System
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1Motor Vehicle Administration
VR-466 (08-16)
6601 Ritchie Highway, N.E.
Glen Burnie, Maryland 21062
Application for Lien Code Assignment and/or Enrollment/Change in Electronic Lien System
This form is to be used by financial institutions and other lien holders to enroll in the Maryland Motor Vehicle Administration’s (MVA)
Electronic Lien System (ELS), or to modify an ELS account with MVA. This form is also used to request a lien code.
A ACTION REQUESTED – To Be Completed By Financial Institution/Lien holder
This application is for (check appropriate box/boxes):
Lien code assignment (Complete section B)
Enrollment in ELS Program – (Complete sections B and C)
Change of Vendor/Service Provider – (Complete sections B and C)
Change of Financial Institution/Lien Holder Name – (Complete section B)
Change of Financial Institution Address – (Complete section B)
Removal from ELS Program – (Complete sections B and C)
In making application for a lien code and/or enrolling or modifying an ELS account with the MVA, I (we) certify under penalty of perjury, that:
A. The lien holder making application has a Maryland lender’s license or sales finance license issued by the Commissioner of Financial
Regulation, License No. ___________________________ or
B. The lien holder making application is exempt from obtaining a Maryland lender’s license or sales finance license because the lien holder is a:
Bank
National Banking Association
Trust Company
Savings Bank
Savings and Loan Association
Credit Union
Licensed Dealer (a seller of goods or services not engaged in making loans or acting as a credit service business).
Signature of Lien
Printed Name of
Holder’s Authorized Agent ________________________________________________Authorized Agent ____________________________________
B LIEN HOLDER INFORMATION – To Be Completed By Financial Institution/Lien holder
Name of Financial Institution/Lien holder
FEIN
ABA Number
Address
City or Town
State
Zip Code
LIEN CODE (if already assigned)
Name of Authorized Representative: (please print)
Capacity:
Signature of Authorized Representative below:
Email Address:
Telephone Number:
Date:
MVA USE ONLY
Lien code assigned _______________________
Name of ELS Vendor/Service Provider:
Signature _______________________________
Operator # ________________ Date _________
C ELS VENDOR/SERVICE PROVIDER AUTHORIZATION – To Be Completed By ELS Vendor/Service Provider
ELS Contract Authorized By: (Printed Name)
(Signature)
Capacity
Email Address of Contact Person:
Telephone Number:
Enrollment/Removal Date:
Start __________
End __________
• Financial institutions must complete Sections A and B, then forward this form to the selected vendor/service provider.
• This completed application must be submitted to the MVA by the authorized ELS vendor/service provider named in Section C, unless this
request is for an assigned lien code only. Please email completed forms to mvaelsinfo@mdot.state.md.us or fax to Central Liens at
410-768-7594.
Participating lien holders agree to the following conditions and requirements:
• The lien holder must contract with one of MVA’s approved ELS service providers for transmission of all vehicle and title data.
• The lien holder must provide the lien code assigned by MVA, to all loan recipients and automotive dealers utilizing selected lien holder services.
• The lien holder must work directly with the contracted service provider’s Help Desk to resolve all ELS discrepancies and data transmission
issues.
• The lien holder must protect the confidentiality of the information and data to which the lien holder has access. At no time will the lien holder
furnish to any person, association or organization any vehicle or title data received from MVA without MVA’s prior written consent.
• The lien holder has no proprietary rights to the information received from the MVA.
• The lien holder understands that MVA and its employees shall not be liable to the lien holder for any damages, costs, lost production or any
other loss of any kind for failure of MVA’s equipment, hardware or software, or for the loss of consequential damages that are the result of any
other type of failure.
• Authorization may be terminated by either party upon giving 30 days written notice to the other party. In the event of termination, MVA is released
from any and all obligations to the lien holder.
For more information, please call: 410-768-7000 (to speak with a customer agent).
TTY for the hearing impaired: 1-800-492-4575. Visit our website at:
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