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Certified Lienholder Intake Form

Desired Implementation Date I I I I Name (max. 30 characters) Federal Employer Identification Number (FEIN) Address Line 1 (max. 30 characters) Address Line 2 (max. 30 characters) City (max. 19 characters) State (2 characters) Country (max. 4 characters) Postal Code (9 characters) I Name of Entity Individual s Name Phone Number Email SecureTA Dealertrack Decision Dynamics, Inc. PDP Group VINtek, Inc. None - Lienholder Self Processing Other (Name): Certified Electronic Name of Entity Individual s Name Phone Number Email Texas Department of Motor Vehicles I 1- Certified Lienholder Intake Information -- This form is only for use for new financial institutions requesting to be a Certified Lienholder o

Certified lienholders are assigned a certified lienholder ID for use on Texas title applications. Entry of this number at the time of processing the title application results in the correct name and address appearing on Texas title record. A certified lienholder receives a …

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