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Form VSA66 Application for Transfer and Supplemental Liens - Virginia
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What Is Form VSA 66?
Form VSA 66, Application for Transfer and Supplemental Liens , is a document completed by Virginia residents to transfer a vehicle lien or apply for a supplemental lien. You need this application in the following circumstances:
- You are transferring your vehicle to another person. It is required to contact the lienholder who holds an existing lien on your vehicle and obtain their consent to the transfer.
- You have financed the vehicle after a certificate of title was issued with your name on it or you refinanced the vehicle which signifies your intent to add a supplemental lien.
This form was issued by the Virginia Department of Motor Vehicles (DMV) . The latest version of the form was released on December 20, 2016 , with all previous editions obsolete. A fillable VSA 66 Form is available for download below.
Form VSA 66 Instructions
Provide the following information in Form VSA 66:
- Application type (transfer of lien or supplemental lien).
- Owner details (full name, phone number, DMV customer number, federal employer identification number, or social security number, and address). Indicate whether the vehicle owner is on active military duty.
- Vehicle description (identification number, title number, plate number and type, year, make, model, body type, and weight).
- Information about the current lien (lienholder's name, code, and mailing address, and the date of the lien).
- New lienholder details (if you transfer the lien).
- Supplemental lien details (if you need to add a supplemental lien).
- Confirmation of the statements in the application, owner's signature, and the date of signing. The form must be signed and dated by the current and new lienholders as well.
Once you complete the application, bring it to any DMV customer service center or mail it to the Virginia DMV, PO Box 27412, Richmond, Virginia 23269-0001.
Download Form VSA66 Application for Transfer and Supplemental Liens - Virginia
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