Texas Prescribed Lien Release Form

Transcript

PRESCRIBED FORM FOR RELEASE OF LIEN Form VTR-266 (Rev. 5/2006) DHT # 142379 I (we) hereby certify that the lien or encumbrance on TEXAS CERTIFICATE OF TITLE/DOCUMENT NUMBER YEAR MAKE TX LICENSE PLATE NUMBER VEHICLE IDENTIFICATION NUMBER (VIN) is/was hereby released on . Full payment to satisfy the (DATE) lien has been received by the below mentioned party (parties). (PRIINTED NAME OF LIENHOLDER) (SIGNATURE OF LIENHOLDER OR AUTHORIZED AGENT) (PRIINTED NAME OF AUTHORIZED AGENT) Lienholder’s Telephone Number: Date Signed: WARNING: TRANSPORTATION CODE §501.155 PROVIDES THAT FALSIFYING INFORMATION ON ANY REQUIRED STATEMENT OR APPLICATION IS A THIRD-DEGREE FELONY. NOTE TO APPLICANT: IF THIS FORM IS FILED IN CONJUNCTION WITH AN APPLICATION FOR A CERTIFIED COPY OF A TEXAS CERTIFICATE OF TITLE FOR A MOTOR VEHICLE, VTR-34, A BUSINESS CARD OR LETTER OF AUTHORIZATION FROM THE LIENHOLDER SIGNING AGENT IS REQUIRED. TEXAS DEPARTMENT OF TRANSPORTATION VEHICLE TITLES AND REGISTRATION DIVISION AUSTIN, TX 78779-0001 (Attach this release of lien to the title application) Recycled Paper