Fillable Form 04: to Record or Transfer a Lien (State of Alabama)

Fill Online, Printable, Fillable, Blank Form 04: to Record or Transfer a Lien (State of Alabama) Form

Use Fill to complete blank online STATE OF ALABAMA (AL) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Form 04: to Record or Transfer a Lien (State of Alabama)

On average this form takes 10 minutes to complete

The Form 04: to Record or Transfer a Lien (State of Alabama) form is 1 page long and contains:

  • 0 signatures
  • 0 check-boxes
  • 41 other fields

Country of origin: US
File type: PDF

U.S.A. forms for State of Alabama

BROWSE STATE OF ALABAMA (AL) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
NAME FIRST LIENHOLDER FELONY OFFENSE FOR FAILURE TO NAME LIENHOLDER WITH INTENT TO DEFRAUD
MAILING ADDRESS LIEN DATE (M/D/Y)
CITY STATE ZIP
NAME SECOND LIENHOLDER FELONY OFFENSE FOR FAILURE TO NAME LIENHOLDER WITH INTENT TO DEFRAUD
M
AILING ADDRESS LIEN DATE (M/D/Y)
CITY STATE ZIP
NAME (LAST, FIRST, MIDDLE) FELONY OFFENSE FOR FALSE ADDRESS
M
AILING ADDRESS
CITY STATE ZIP
N
AME ALABAMA OPERATOR (LESSEE) NAME AND / OR RESIDENT ADDRESS IF DIFFERENT FROM ABOVE
RESIDENT ADDRESS FELONY OFFENSE FOR FALSE ADDRESS
CITY STATE ZIP
V
EHICLE INFORMATION
O
WNER INFORMATION
LIEN INFORMATION
SIGN COMPLETED FORM ONLY, FELONY OFFENSE FOR FALSE STATEMENTS
SECTIONS A AND B OR SECTION C MUST BE COMPLETED
F
OR OFFICE USE ONLY
A
I, THE UNDERSIGNED, CERTIFY THAT THE VEHICLE DESCRIBED ABOVE IS OWNED BY ME AND I HERE-
BY MAKE APPLICATION FOR A CERTIFICATE OF TITLE FOR SAID MOTOR VEHICLE AND THIS VEHICLE
WILL NOT BE THE SUBJECT OF LIEN PRIOR TO RECEIPT OF TITLE UNLESS INDICATED ABOVE. I FURTHER
CERTIFY THAT ALL INFORMATION CONTAINED HEREIN IS TRUE AND CORRECT TO THE BEST OF MY KNOWL-
EDGE AND BELIEF.
OWNER
SIGNATURE(S)
(PERSONALLY SIGNED BY EACH OWNER (IN INK) OR AUTHORIZED REPRESENTATIVE OF FIRM)
B
I HEREBY CERTIFY THAT ALL INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND CORRECT
TO THE BEST OF MY KNOWLEDGE AND BELIEF.
LIENHOLDER
NAME:
AUTHORIZED
SIGNATURE:
DATE:
C
THE UNDERSIGNED ASSIGNOR AND ASSIGNEE CONFIRM THAT THE LIEN HELD BY THE ASSIGNOR HAS
BEEN TRANSFERRED TO THE ASSIGNEE. BOTH PARTIES HEREBY REQUEST THAT A NEW CERTIFICATE
OF TITLE BE ISSUED SUBJECT TO THE LIENS LISTED ON THIS APPLICATION.
ASSIGNOR
LIENHOLDER
NAME:
AUTHORIZED
SIGNATURE:
DATE:
ASSIGNEE
LIENHOLDER
NAME:
AUTHORIZED
SIGNATURE:
DATE:
NOTE: LIEN DATE FOR TRANSFERRED LIEN(S) MUST REMAIN THE SAME. ALSO, NO CHANGES ARE PERMIT-
TED IN THE OWNER INFORMATION (OTHER THAN ADDRESS CHANGES).
LOCATOR NO.:
REJECT TO:
REASONS:
E
XAMINER NO.:
ENCL.:
NOTICE OF SECURITY INTEREST
THIS FORM MAY BE DUPLICATED
Submit $15.00 Application Processing Fee (non-refundable)
in certified funds payable to Alabama Department of
Revenue. Do not send personal checks or cash.
FEE – $15.00
APPLICATION
M
VT 20-1
R
1/12
ALABAMA DEPARTMENT OF REVENUE
MOTOR VEHICLE DIVISION – TITLE SECTION
P. O. Box 327640 • Montgomery, AL 36132-7640 • titles@revenue.alabama.gov
Application For Certificate of Title
to Record or Transfer a Lien
THIS FORM MAY BE DUPLICATED OR ADDITIONAL COPIES MAY BE OBTAINED FROM THE DEPARTMENT WEB SITE AT
www.revenue.alabama.gov/motorvehicle/mvforms/MVT20_1.pdf
TYPE OR PRINT
ONLY
TO RECORD A LIEN ONLY
W
ITH AN OUTSTANDING
ALABAMA TITLE* NOT TO
B
E USED ON A TRANSFER
OF OWNERSHIP OR BY
D
ESIGNATED AGENT.
*See exemptions on
r
everse of form.
V
EHICLE IDENTIFICATION NUMBER
*
TRANS
CODE
YEAR
MODEL
MAKE MODEL
CYLS NEW USED DATE OF PURCHASE NUMBER
LIENS
COLOR CURRENT ALABAMA TITLE NO.ODOMETER READING
04
*All VINs for 1981 and subsequent year model
vehicles that conform to federal anti-theft stan-
dards are required to have 17 digits/characters.
Instructions
This form shall be typed or printed legibly.
I
llegible forms will be returned.
This form is designed for use by a lienholder in order for an owner of a vehicle to comply with section
32-8-61, Code of Alabama 1975, where an owner creates a security interest in a vehicle.
This form may not be used on a transfer of ownership or by designated agents. Designated
agents shall use form MVT 5-1E to record liens.
NOTE: Vehicle information and owner information shall be identical to information appearing
on surrendered alabama title except for current mailing address and current alabama
resident address.
SUPPORTING DOCUMENTS – This application shall be
accompanied by the current Alabama title to
this vehicle and the title fee (certified funds only) payable to the Alabama Department of Revenue.
Exemptions
(1) Effective January 1, 2012, no certificate of title shall be issued for any manufactured homes, trail-
er, semi-trailer, travel trailer, or folding or collapsible camping trailer more than twenty (20) model
years old. This exemption is applicable on January 1 of each year and applies to all manufactured
homes, trailers, semi-trailers, travel trailers, and folding or collapsible camping trailers with a
model year, as designated by the manufacturer, older than twenty (20) years from the current cal-
endar year. All utility trailers, other than folding or collapsible camping trailers, are still exempt
from titling regardless of the year model.
Example: As of January 1, 2012, all 1991 and prior year model manufactured homes, trailers,
semi-trailers, travel trailers, and folding or collapsible camping trailers are exempt from the titling
provisions of Chapter 8, Title 32, Code of Alabama 1975.
(2) Effective January 1, 2012, no certificate of title shall be issued for any motor vehicle more than
thirty-five (35) model years old. This exemption is applicable on January 1 of each year and
applies to all motor vehicles with a model year, as designated by the manufacturer, older than thir-
ty-five (35) years from the current calendar year.
Example: As of January 1, 2012, all 1976 and prior year model motor vehicles are exempt from
the titling provisions of Chapter 8, Title 32, Code of Alabama 1975.
(3) Effective January 1, 2012, no certificate of title shall be issued for a low speed vehicle. A low
speed vehicle is defined as a four-wheeled motor vehicle with a top speed of not greater than 25
miles per hour, a gross vehicle weight rating (GVWR) of which is less than 3,000 pounds and
complying with the safety standards provided in 49 C.F.R. Section 571.500. The term includes
neighborhood electric vehicles.
NOTE: The exemption from titling does not invalidate any Alabama certificate of title that is
currently in effect. However, no subsequent title, including a certificate of title to record
or transfer a lien, can be issued if the vehicle is exempt from titling.
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Form 04: to Record or Transfer a Lien (State of Alabama)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 7 August 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document