Mechanic'S Lien Foreclosure - Texas Department Of Motor Vehicles

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MECHANIC'S LIEN FORECLOSURE

INSTRUCTIONS ON PAGE 2

General Information

Vehicle Identification Number

Year

Make

Body Style

Model

License plate number

Year of license

State of issuance

Expiration

Printed name of person who left vehicle for repairs

Address of person who left vehicle for repairs (Street Address, City, State, Zip)

Mechanic Information

Date vehicle left for repairs

Date repairs completed

Charges for parts and labor

Storage charges, if any*

* Form VTR-265-S must also be completed if foreclosure includes storage charges. Additionally, a second notice is required.

Foreclosure/Public Sale Information

Date owner(s) and lienholder(s), if any, were

County in which repairs were made and copy of

Date county tax assessor-collector was notified

notified of charges

notification was filed

Date of public sale

Location of public sale

NOTE: See “1. FORECLOSURE NOTICE” under Mechanic's Lien Foreclosure Procedures on page 2 for notification requirements.

Affidavit of Statutory Lienholder - State law makes falsifying information a third degree felony

I, the undersigned statutory lienholder, certify that the statements are true and correct and that the vehicle described above was left for repair and the

owner(s), any applicable lienholder(s), and the county tax assessor-collector were notified as required by statute. I also certify that I have complied

with all applicable provisions of Chapter 70 of the Texas Property Code, and I am, therefore, proceeding to foreclose on the statutory mechanic's lien

in accordance with state law.

Printed Name of Mechanic's Shop/Garage

Complete Address of Mechanic's Shop/Garage (Street Address, City, State, Zip)

Printed Name of Mechanic/Authorized Agent

Signature of Mechanic/Authorized Agent

Subscribed and sworn to before me this

day of

(Year).

N O T A R Y

S T A M P

My commission expires

H E R E

Notary Public

County, Texas

Date

Seller/Buyer Assignment/Odometer Disclosure Statement

By virtue of the public sale outlined above and in accordance with the laws of the State of Texas, I, the undersigned statutory lienholder, for the sum of

, sell and assign the vehicle described on this affidavit to the highest bidder at said sale to:

Name

Street Address

City

State

Zip

State and federal laws require that you state the mileage in connection with the transfer of ownership. Failure to complete or providing a false

statement may result in fines and/or imprisonment. The odometer reading is

(no tenths).

I, the seller/agent, certify to the best of my knowledge that the odometer reading is the actual mileage of the vehicle unless one of the following

statements is checked:

The mileage stated is in excess of the mechanical limits.