Fillable Mv-900 - Notice Of Lien - New York State Dmv printable pdf download

New York State Department of Motor Vehicles

MV-900 (1/11)

NOTICE OF LIEN

All information (other than signature) must be typed. Use caution when entering Vehicle, Hull or Manufactured Home ID number.

Liens will not be recorded if information is illegible, incorrect or incomplete.

VEHICLE/BOAT/MANUFACTURED HOME INFORMATION

Identification Number

Year

Make

Body Type/Hull

Registration/Plate No. of Borrower, if any

This is a:

Vehicle

Boat

Trailer

Manufactured home

OWNER INFORMATION

Owner’s Last Name

First

M.I.

Owner’s Last Name

First

M.I.

Street Address (including Apt. No.)

City

State

Zip Code

Check here if this is a new address.

NOTE: Lien will be recorded only if the name(s) listed as the owner(s) is EXACTLY the same as the owner(s) recorded, or to be recorded, on

the Certificate of Title. If a Certificate of Title has not been issued to this borrower, print the name as it appears on the driver license.

OWNER’S STATEMENT: I understand that the lienholder will send this notice to the DEPARTMENT OF MOTOR VEHICLES. If a title was

previously issued in my name for this vehicle, boat, trailer or manufactured home, I gave it to the lienholder to be sent to DMV with this notice.

I understand that a new Certificate of Title, showing the lienholder’s name, will be mailed to me.

_______________________________

________________________________ Date _______________

OWNER(S): SIGN HERE

(Must be an original signature. If a POA is used,

a copy of the POA must be attached.)

If signing for a corporation, print your name and title:

______________________________________ ________________________________

(Name)

(Title)

LIEN INFORMATION

Lien Filing Code (assigned by DMV: enter only if a code has been assigned to you or your company)

Lienholder’s Name

Lienholder’s Name (continued)

Street Address

City

State

Zip Code

This notice authorizes the Department of Motor Vehicles to disclose (or otherwise make available) information about the lienholder obtained by

the department in connection with this record.

Date of Security Agreement_________________________

________________________________________________________________________

(Lienholder’s Signature—Must be an original signature or a facsimile stamp)

Has a NY Certificate of Title been issued to this borrower?

YES

IF YES, ATTACH TITLE.

LIENHOLDER: Mail this form, the $5 fee paid by the lienholder payable to the Commissioner of Motor Vehicles, and the owner’s title (if issued) to:

TITLE BUREAU, NEW YORK STATE DEPARTMENT OF MOTOR VEHICLES, PO BOX 2604, ALBANY NY 12220-0604

You can verify online if a lien was recorded or if a title certificate was issued.

Go to the Lien/Title Certificate Status page at the DMV web site: /titlestat/default.html

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Mv-900 - Notice Of Lien - New York State Dmv

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