MVR-7
(Rev. 5/17)
YEAR MAKE BODY STYLE SERIES MODEL TITLE NUMBER
VEHICLE IDENTIFICATION NUMBER TYPE OF FUEL ODOMETER READING ODOMETER BRAND
Owner 1 ID# ___________________ __________________________________________________________
Owner 2 ID# ___________________ _________________________________________________________
Residence Address (Individual) Business Address (Firm)
City and State Zip Code Tax County
Mailing Address (if different from above)
The lien, dated _______________, shown in favor of the undersigned assignor on the attached certificate of title covering a
(YEAR) (MAKE) (BODY STYLE) (VEHICLE IDENTIFICATION NUMBER)
The date of the assignment is ______________________________________________________________________________________
Lienholder (assignor) _______________________________________________________
By: _______________________________________________________________________
(AUTHORIZED REPRESENTATIVE)
My commission expires _______________________________.
Notary Public __________________________________________________
Address ______________________________________
____________________________________
___________________________________ ____________________________________
Lienholder (assignee) __________________________________
_____________________________________
By: ________________________________________________________________________
Acknowledged before me this __________________ day of ______________________________
_____________________________________
Address ______________________________________________________
___________________________________
___________________________________
___________________________________
(CITY) (STATE) (ZIP CODE)
(CITY) (STATE) (ZIP CODE)
(AUTHORIZED REPRESENTATIVE)
My commission expires _________________________________
Notary Public __________________________________________________
Maturity Date __________________
Maturity Date ____________________
Full Legal Name of Owner 1 (First, Middle, Last, Suffix) or Company Name
issued in the name of _____________________________________________________________________________________________
is assigned to: ___________________________________________________________________________________________________.
Acknowledged before me this ______________ day of _________________________________________________________________
APPLICATION FOR RECORDING OF TRANSFER OF LIEN
The undersigned assignee confirms transfer of the lien described above and hereby makes application for a new certificate of title subject
to the following named lien(s and none other:
FIRST LIEN - - Date of lien ____________________
SECOND LIEN - - Date of lien ______________________
Full Legal Name of Owner 1 (First, Middle, Last, Suffix) or Company Name
North Carolina Division of Motor Vehicles
RECORDING ASSIGNMENT OF LIEN AND APPLICATION FOR TRANSFER OF LIEN
(Original North Carolina certificate of title must accompany this application)
