A Release Of Lien In

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					                                                                                                  555 WRIGHT WAY
                                                                                          CARSON CITY, NV 89711
                                                                      Reno/Sparks/Carson City (775) 684-4DMV (4368)
                                                                             Las Vegas Area (775) 486-4DMV (4368)
                                                                         Rural Nevada or Out of State (887) 368-7828
                                                                                                     www.dmvnv.com


                                          LIEN RELEASE

Please print or type

This is to certify the lien against the described vehicle has been fully satisfied.

Vehicle Identification Number



Year _________________ Make __________________ Model __________________

Registered Owner(s) _______________________________________________________________
                                First                 Middle                          Last



Address _________________________________________________________________________
                       Street                                  City                   State          Zip Code




Printed Name of Lienholder __________________________________________________________

Address _________________________________________________________________________
                       Street                                  City                   State          Zip Code



Daytime Telephone Number (____) _________ - ____________



Lienholder Representative’s Name ____________________________________________________
                                           First                       Middle                 Last




Lienholder Representative’s Title ______________________________________________________

Lienholder Representative’s Signature ___________________________________ Date __________



Subscribed and sworn before me this __________ day of __________ 20 __________

_______________________________________________________________________
Notary Public or Authorized Nevada DMV Representative




RD186 (Rev. 11/03)

				
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