TN FORM SS-4258 (11/14)
Business Services Division
Tre Hargett, Secretary of State
State of Tennessee
INSTRUCTIONS
APPLICATION FOR MOTOR VEHICLE TEMPORARY LIEN (SS-4258)
Filing Fee: $10.00 per application
A blank form follows these instructions.
An Application for Motor Vehicle Temporary Lien may be filed using one of the following methods:
•
E-file: Go to Use the online tool to complete the filing and pay the filing fee by
credit card, debit card or e-check. When paying by credit card, debit card or e-check, there is a
convenience fee that covers the credit card fees and transaction costs incurred by the Business Services
Division when accepting online payments. Filers who do not wish to pay the convenience fee to file
online may choose the “Print and Mail” option at no additional cost.
•
Print and Mail: Go to Use the online tool to complete the filing. Print and
mail the application along with the required filing fee to the Secretary of State’s office at ATTN: MVTL,
312 ROSA L PARKS AVE FL 6, NASHVILLE TN 37243-1102.
•
Paper submission: A blank form follows these instructions. The form must be computer generated and
mailed along with the required filing fee to the Secretary of State’s office at ATTN: MVTL, 312 ROSA L
PARKS AVE FL 6, NASHVILLE TN 37243-1102.
•
Walk-in: A blank Application for Motor Vehicle Temporary Lien form may be obtained in person at the
th
Secretary of State Business Services Division located on the 6
Floor of the Snodgrass Tower at 312
Rosa L. Parks AVE, Nashville, TN 37243.
Please type or laser-print this form. Be sure it is legible. Follow instructions completely.
Fill in form very carefully; mistakes may have important legal consequences. If you have questions, consult your
attorney. Filing office cannot give legal advice.
Do not write in any area of the form other than in the designated application box sections.
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