Vehicle Lien Information Worksheet - Submit by email
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Today's Date*
Facility Phone Number
Storage Facility Name and Address*
Vehicle Information
Type of Vehicle*
Facility FAX Number
Vehicle Identification Number (VIN)*  REQUIRED BY DMV FOR PROCESSING
Make of vehicle - ie: Chevy, Ford, Nissan*
Model of Vehicle - ie: Corvette, Titan, F-100*
Year Model*
License Plate #*
State Issued*
Registration Expiration Date
Month
Year
means it is a required field
Does the Vehicle Have an Engine?
How is the Vehicle stored?
Tenant Information
Who Stored the vehicle?
Include
Name
Address
City and State
Zip
Phone Numbers
What date was the Vehicle 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
Any additional information concerning vehicle
Email Address
This worksheet is not for Boats or Motorcycles. 
See the worksheets for these on "Manager's Page"
Unit/Space vehicle is stored in?
Required by DMV For Processing