X Date of Security Agreement
Has a NY Certificate 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 DEPARTMENT OF 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 DMV with this notice.
I understand that a new Certificate of Title, showing the lienholder’s name, will be mailed to me.
OWNER(S): SIGN HERE
XX Date
If signing for a corporation, print your name and title:
NOTICE OF LIEN
All information (except signature) must be typed. Be careful when entering vehicle, hull or manufactured home ID number. When
information is not legible, is incorrect, or not complete, the lien is not recorded.
For more information about filing a lien electronically,
visit https://dmv.ny.gov/forms/mv-909.pdf
Check here if this is a new address.
NOTE: Lien will be recorded only if the name(s) listed as the owner(s) is EXACTLY the 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 (7/19)
Identification Number
Year
This is a:
Vehicle Boat Trailer Manufactured home
Make Body Type/Hull Registration/Plate No. of Borrower, if any
Owner’s Last Name
First M.I.
Owner’s Last Name
First M.I.
Street Address (including Apt. No.)
City
State Zip Code
State Zip 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 lienholder payable to the Commissioner of Motor Vehicles, and the owner’s title (if issued) to:
TITLE BUREAU, NEW YORK STATE DEPARTMENT OF MOTOR VEHICLES, PO BOX 2604, ALBANY NY 12220-0604
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 DMV web site:
dmv.ny.gov/titlestat/default.html
(Must be an original signature. If a POA is used,
a copy of the POA must be attached.)
(Name)
(Title)
(Must be an original signature. If a POA is used,
a copy of the POA must be attached.)
dmv.ny.gov
VEHICLE/BOAT/MANUFACTURED HOME INFORMATION
OWNER INFORMATION
LIEN INFORMATION
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