MVT 5-63
2/13

ALABAMA DEPARTMENT OF REVENUE
MOTOR VEHICLE DIVISION
TITLE SECTION
P.O. Box 327640 • Montgomery, AL 36132-7640 • titles@revenue.alabama.gov
www.revenue.alabama.gov/motorvehicle/forms.html

Application For Lien Release
VEHICLE MUST BE CURRENTLY TITLED IN THE STATE OF ALABAMA
This form must be completed by the lienholder, accompanied by the certificate of title or
application for replacement certificate of title, and mailed to the address listed above.
LIEN INFORMATION – FELONY OFFENSE FOR FAILURE TO NAME LIENHOLDER WITH INTENT TO DEFRAUD
NAME OF FIRST LIENHOLDER
MAILING ADDRESS

LIEN DATE (MM/DD/YY)

CITY

STATE

ZIP

NAME OF SECOND LIENHOLDER
MAILING ADDRESS

LIEN DATE (MM/DD/YY)

CITY

STATE

ZIP

VEHICLE / MANUFACTURED HOME IDENTIFICATION NUMBER
– All VINs for 1981 and subsequent year model vehicles that conform to federal anti-theft standards are required to have 17 digits/characters.

MAKE:

__________ YEAR: ________

MODEL:

___________

MAKE:

__________ YEAR: ________

MODEL:

___________

MAKE:

__________ YEAR: ________

MODEL:

___________

MAKE:

__________ YEAR: ________

MODEL:

___________

VEHICLE OR MANUFACTURED HOME IDENTIFICATION NUMBER

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. FELONY OFFENSE FOR FALSE ADDRESS.
NAME(S) (LAST NAME, FIRST, MIDDLE)
CURRENT MAILING ADDRESS
CITY

STATE

ZIP

LIEN RELEASE INFORMATION
DATE OF LIEN RELEASE:

______________________________

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

Sworn to and
subscribed before me,

________________________________________
NAME OF NOTARY PUBLIC – MUST BE TYPED OR PRINTED

this

______ day of _________________, _______

Notary Public Signature:

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