Form Ss -4259 - Search Request For Temporary Liens

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Department of State
Motor Vehicle Temporary Lien Program
SEARCH REQUEST FOR
312 Eighth Avenue North
TEMPORARY LIENS
th
6
Floor, William R. Snodgrass Tower
Nashville, TN 37243
Return Search Request To:
Control Number:
Name
__________________________________
Address
__________________________________
__________________________________
___________________, _____ _______
City
State
Zip Code
(Filing Office Use Only)
1.
Give exact name of debtor to be searched:
_____________________________________
____________________________________________________________________________
2.
The Secretary of State control number, if known:
________________________________
3.
Please select one:
Information Listing Only - Fee $10
Copy Search (includes information listing) - Fee $10 plus $1 per page
Cover Sheet Search (includes information listing) - Fee $10 plus $1 per page
Search requests unaccompanied by an
Payment Method
adequate payment amount or no prepayment
will be invoiced with payment due within 60
Check
Number
days. Make checks payable to: Tennessee
Secretary of State.
Voucher
Number ___________
Please forward your request to:
Tennessee Department of State
Motor Vehicle Temporary Lien Program
312 Eighth Avenue North
6th Floor, William R. Snodgrass Tower
Nashville, Tennessee 37243-0306
(615) 741-0529
SS -4259
RDA Pending

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