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Fillable Printable MV-900 - Notice of Lien Form - New York

Fillable Printable MV-900 - Notice of Lien Form - New York

MV-900 - Notice of Lien Form - New York

MV-900 - Notice of Lien Form - New York

±________________________________________________________________________ Date of Security Agreement_________________________
Has a NYCertificate of Title been issued to this borrower?
YES NO IF YES, ATTACH TITLE.
OWNER’S STATEMENT:I understand that the lienholder will send this notice to the DEPARTMENTOF MOTOR VEHICLES. If a title was
previously issued in my name for this vehicle, boat, trailer or manufactured home, I gave it to the lienholder to be sent to DMVwith this notice.
I understand that a new Certificate of Title, showing the lienholders name, will be mailed to me.
OWNER(S): SIGN HERE
±_______________________________±________________________________ Date _______________
If signing for a corporation, print your name and title:
______________________________________ ________________________________
New York State Department of Motor Vehicles
NOTICE OF LIEN
All information (other than signature) must be typed.Use caution when entering Vehicle, Hull or Manufactured Home ID number.
Liens will not
be recorded if information is illegible, incorrect or incomplete.
Check here if this is a new address.
NOTE: Lien will be recorded only if the name(s) listed as the owner(s) is EXACTLYthe same as the owner(s) recorded, or to be recorded, on
the Certificate of Title. If a Certificate of Title has not been issued to this borrower, print the name as it appears on the driver license.
MV-900 (1/11)
Identification Number
Year
This is a:
Vehicle Boat Trailer Manufactured home
MakeBody Type/HullRegistration/Plate No. of Borrower, if any
Owner’s Last Name
FirstM.I.
Owner’s Last Name
FirstM.I.
Street Address (including Apt. No.)
City
StateZip Code
StateZip Code
Lien Filing Code (assigned by DMV: enter only if a code has been assigned to you or your company)
Lienholder’s Name
Lienholder’s Name (continued)
Street Address
City
(Lienholder’s Signature—Must be an original signature or a facsimile stamp)
This notice authorizes the Department of Motor Vehicles to disclose (or otherwise make available) information about the lienholder obtained by
the department in connection with this record.
LIENHOLDER:Mail this form, the $5 fee paid by the lienholderpayable to the Commissioner of Motor Vehicles, and the owners title (if issued) to:
TITLE BUREAU, NEWYORK STATE DEPARTMENT OF MOTOR VEHICLES, PO BOX 2604, ALBANYNY12220-0604
You can verify online if a lien was recorded or if a title certificate was issued.
Go to the Lien/Title Certificate Status page at the DMVweb site: www.dmv.ny.gov/titlestat/default.html
(Must be an original signature. If a POAis used,
a copy of the POAmust be attached.)
(Name)
(Title)
(Must be an original signature. If a POAis used,
a copy of the POAmust be attached.)
www.dmv.ny.gov
VEHICLE/BOAT/MANUFACTURED HOME INFORMATION
OWNER INFORMATION
LIEN INFORMATION
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