Transcription of Form MV-21-A Lien Entry Form - Oklahoma
1 Oklahoma Tax CommissionPO Box 269061 Oklahoma City, Oklahoma 73126-9061 Lien Entry FormDebtor Names and Address (Last Name First)This Lien Entry form Covers the Following Vehicle:Lender must type and print 3 identical copies of the Lien Entry form . Use one Lien Entry form for each vehicle, boat or outboard (s)_____Address_____City, State, Zip _____ _____Secured Party Name Assignee of Secured Party Name_____ _____Lienholder ID Lienholder ID_____ _____Address Address_____ _____City, State, Zip City, State, Zip_____ _____ _____ _____ Year Make Body Type Vehicle Identification Number (VIN/HIN)_____ _____ Date of Security Agreement Original Oklahoma Title Number_____ _____ Secured Party/Assignee Signature Date ExecutedForm MV-21-ARevised 5-2022 MVCFEES (VEHICLES)Lien Entry Fee.
2 $ Fee ..$ Fee ..$ ..$ (BOATS/MOTORS)Lien Entry Fee ..$ Fee ..$ Fee ..$ ..$ ONLY FILINGLien Entry Fee ..$ Fee ..$ ..$ Amount Paid.
