Form Tr-156 - Complaint Of Lien Holder'S Failure To Comply With Lien Release Requirements
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1
2KANSAS
COMPLAINT OF LIEN HOLDER’S FAILURE TO
DEPARTMENT OF REVENUE
COMPLY WITH LIEN RELEASE REQUIREMENTS
DIVISION OF VEHICLE
The purpose of this form is to report a lien holder’s violation of SB 558 of the 2006 Session of the Kansas Legislature for failure to release a lien (and title when applicable) upon full
payment is satisfaction of the security interest. The lien holder will have three (3) business days after receipt of cash, intra-bank transfer or wired funds payment, and a request for the
release of lien to fully execute a release of lien and shall mail or deliver such release as directed by the person who requested the release. When a lien is paid by other than cash, intra-
bank transfer or wired funds, the lien holder has ten (10) business days after receipt of such payment and request for the release of lien to fully execute a release of lien and shall mail or
deliver such release as directed by the person who requested the release.
VEHICLE INFORMATION
Year
Make
VIN:
KS License Plate:
PERSON(S) OR BUSINESS FILING COMPLAINT
Name(s):
Phone Number:
Mailing Address
City
State
ZIP
Contact Person’s Name:
PERSON(S) OR BUSINESS WHO MADE FINAL PAYMENT INFORMATION
Name(s):
Phone Number:
Mailing Address
City
State
ZIP
LIEN HOLDER INFORMATION
Lien Holder’s Name:
Phone Number:
Mailing Address
City
State
ZIP
Contact Person’s Name:
Account Number:
PAYOFF INFORMATION
$
Amount tendered as payment in full:
Was this the total amount owed?
Yes
No
Date payment was sent:
Did you request a release of lien in writing*?
Yes
No
* Please attach copy of written request if available.
Cash
Wired funds
Intra-bank Transfer
Method of
Payment Used:
Check Only ONE
Teller’s Check
Certified Check
Cashier’s Check
Other:
Address where payment was sent:
If different from lien holder’s address above
Payment Delivery Information
(Check Only ONE)
Electronic
Regular U.S. Mail
Overnight U.S. Mail
Next Day Air
Overnight delivery by private carrier (e.g. DHL, FedEx, UPS, etc):
Other
Please include any Tracking No.:
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Parent category: Financial