APPLICATION FOR TRANSFER AND …

← Back to document page

APPLICATION FOR TRANSFER AND supplemental LIENS Are any of the vehicle owners on active military duty or service?MAILING ADDRESS CITY OR TOWN STATE ZIP CODEYESNOOWNER FULL LEGAL NAME (last, first, middle, suffix) DMV CUSTOMER NUMBER / FEIN / SSNTELEPHONE NUMBERCO-OWNER FULL LEGAL NAME (last, first, middle, suffix) DMV CUSTOMER NUMBER / FEIN / SSNTELEPHONE NUMBER1. OWNER INFORMATION3. CURRENT LIEN INFORMATION FIRST LIENCheck One: Printed original paper title certificate attached Original title certificate is electronic title (no paper title attached) LIEN DATE (mm/dd/yyyy) LIENHOLDER NAMELIENHOLDER CODELIENHOLDER MAILING ADDRESSCITY OR TOWN ZIP CODESTATELIEN DATE (mm/dd/yyyy) LIENHOLDER NAMELIENHOLDER CODELIENHOLDER MAILING ADDRESSCITY OR TOWN ZIP CODESTATESECOND LIENComplete this section only to TRANSFER a lien to a new lienholder.

APPLICATION FOR TRANSFER AND SUPPLEMENTAL LIENS. Are any of the vehicle owners on active military duty or service? MAILING ADDRESS CITY …

  Applications, Supplemental