Motorcycle Lien Information worksheet - Submit Electronically
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Today's Date
Facility Phone Number
Storage Facility Name and  Address*
Motorcycle Information
Type of Motorcycle*
Facility FAX Number
Vehicle Identification Number (VIN)* 
Make of Motorcycle - ie: Honda, Harley, Suzuki*
Model of Motorcycle - ie: Z100, CF450, Goldwing*
Year Model*
License Plate #*
State Issued*
Registration Expiration Date
Month
Year
Engine Number*
 means it is a required field
If no info is available type "NONE"
Does the Vehicle Have an Engine?
How is the Vehicle stored?
Tenant Information
Who Stored the Motorcycle?
Include
Name
Address
City and State
Zip
Phone Numbers
What date was the Vehicle/Boat stored at the facility?
Include
Name
Address
City and State
Zip
Phone Numbers
Alternates Information
Include
Name
Address
City and State
Zip
Phone Numbers
Include
Name
Address
City and State
Zip
Phone Numbers
Include
Name
Address
City and State
Zip
Phone Numbers
Include
Name
Address
City and State
Zip
Phone Numbers
When were the last notifications sent?*
What is owed to date including all fees?*
What is the current Monthly Rental Rate?*
Comment Box and Additional Information
Email Address