Alabama Motor Vehicle Application for Lien Release

Motor Vehicle Application for Lien Release
MVT 5-63 (2-20).qxp
ALABAMA DEPARTMENT OF REVENUE

MVT 5-63
2/20

MOTOR VEHICLE DIVISION

P.O. Box 327640 • Montgomery, AL 36132-7640
www.revenue.alabama.gov

Notice of Lien Release

This form must be completed by the lienholder, accompanied by the Alabama certificate of title or
application for replacement certificate of title, and mailed to the address listed above.
LIEN INFORMATION

NAME OF FIRST LIENHOLDER
MAILING ADDRESS

LIEN RELEASE DATE (MM/DD/YY)

CITY

STATE

ZIP

NAME OF SECOND LIENHOLDER
MAILING ADDRESS

LIEN RELEASE DATE (MM/DD/YY)

CITY

STATE

ZIP

VEHICLE / MANUFACTURED HOME IDENTIFICATION NUMBER

VEHICLE OR MANUFACTURED HOME IDENTIFICATION NUMBER

MAKE:

__________ YEAR: ________

MODEL:

___________

MAKE:

__________ YEAR: ________

MODEL:

___________

MAKE:

__________ YEAR: ________

MODEL:

___________

MAKE:

__________ YEAR: ________

MODEL:

___________

COMPLETE ONLY IF MULTIPLE SECTIONS

MANUFACTURED HOME IDENTIFICATION NUMBER

COMPLETE ONLY IF MULTIPLE SECTIONS

MANUFACTURED HOME IDENTIFICATION NUMBER

COMPLETE ONLY IF MULTIPLE SECTIONS

MANUFACTURED HOME IDENTIFICATION NUMBER

OWNER INFORMATION – The name of the owner(s) with whom the lienholder held a security agreement.
NAME(S) (LAST NAME, FIRST, MIDDLE)
CURRENT MAILING ADDRESS
CITY

STATE

ZIP

SIGNATURES
The lien recorded on the original certificate of title is hereby released. The lienholder hereby certifies that the above information is true and correct and
the lienholder is aware that a false statement made on this document, with intent to defraud, is a criminal offense under the Alabama Uniform Certificate
of Title and Antitheft Law as codified in Title 32, Chapter 8, Code of Alabama 1975.

SIGNATURE OF AUTHORIZED REPRESENTATIVE (FIRST LEINHOLDER)

PRINTED NAME

DATE

SIGNATURE OF AUTHORIZED REPRESENTATIVE (SECOND LEINHOLDER)

PRINTED NAME

DATE

NOTE: NO FEE IS REQUIRED TO BE SUBMITTED WITH THIS FORM.