Statement Of Lien Satisfaction - Oregon State Marine Board printable pdf download

Statement Of Lien Satisfaction - Oregon State Marine Board

Oregon State Marine Board

435 Commercial St NE

Ph: 503-378-8587

PO Box 14145

Fax: 503-378-4597

Salem OR 97309

E-mail:

marine.board@state.or.us

_______________________________________________________________________________

STATEMENT OF LIEN SATISFACTION

This form is to be completed by security interest holder when their interest in this boat has been released.

MUST COMPLETE ALL SECTIONS

TITLE#

HULL ID#

OR#

LENGTH FT___ IN___

YEAR

ANUFACTURER

PRINT FULL LEGAL NAME(S) OF ALL OWNERS TO WHOM THE LOAN WAS MADE:

___________________________________________________________________________

Print full legal name of owner

___________________________________________________________________________

Print full legal name of co-owner(s)

PRINT OR STAMP THE NAME OF SECURITY INTEREST HOLDER WHO IS RELEASING

INTEREST IN THE BOAT DESCRIBED ABOVE.

___________________________________________________________________________

SIGNATURE OF AUTHORIZED AGENT RELEASING INTEREST AND DATE SIGNED

Marine Bank by Jane Boater

(Ex:

TITLE CLERK 12/5/2006)

___________________________________________________________________________

Statement Of Lien Satisfaction - Oregon State Marine Board