Form BDVR-35 "Garage Keeper's Lien Application" - Michigan

What Is Form BDVR-35?

This is a legal form that was released by the Michigan Secretary of State - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2017;
  • The latest edition provided by the Michigan Secretary of State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form BDVR-35 by clicking the link below or browse more documents and templates provided by the Michigan Secretary of State.

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Download Form BDVR-35 "Garage Keeper's Lien Application" - Michigan

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Clear Form
Link to Vehicle Code on Michigan Website
Instructions for completing pdf. forms on line
GARAGE KEEPER’S LIEN APPLICATION
Garage Keeper Business Name
Street Address
City
Zip
MI
Repair Facility Number
Is Vehicle Still in Your Possession? (Check One)
YES
NO
License Plate Number
Vehicle Year
Make
Vehicle Identification Number
Name of Vehicle Owner who Authorized Repairs
Street Address
City
State
Zip
Date Repairs Completed
Total Amount of Repairs
Date Storage Charges Began
Total # Days Stored
Total Amount of Storage
$
$
I certify the information and statements on this request are true and correct and comply with the Garage Keeper’s Lien
Act (Public Act 312 of 1915, as amended), the Motor Vehicle Service and Repair Act (Public Act 300 of 1974), and state
and federal driver privacy protection laws. Information from Secretary of State records concerning vehicle ownership is
requested for the sole purpose of pursuing legal remedies or recovering a debt from an individual or business. I
understand the disclosure of information obtained from Secretary of State records for a purpose other than stated on this
request, or the sale or other distribution of information to a person or organization not disclosed in this request may result
in penalties imposed under MCL 257.903 and other provisions of law.
Signature
Date
Warning: Under Michigan Law, a person who makes a false representation or false certification to obtain personal information or who uses
personal information for a purpose other than identified above is guilty of a felony, which may be punishable by imprisonment of up to 15
years, a fine of up to $15,000, or both.
Note: To qualify for a GKL, the vehicle must be titled in Michigan.
Mail:
Completed application;
Itemized account statement showing the name of the person authorizing repairs and/or storage;
$10 application fee – Make check or money order payable to “State of Michigan”.
To:
Michigan Department of State
Special Services Branch
7064 Crowner Drive
Lansing, MI 48918
(517) 322-1473
BDVR-35 (02/17)
Authority Granted Under Public Act 312 of 1915, as Amended
Clear Form
Link to Vehicle Code on Michigan Website
Instructions for completing pdf. forms on line
GARAGE KEEPER’S LIEN APPLICATION
Garage Keeper Business Name
Street Address
City
Zip
MI
Repair Facility Number
Is Vehicle Still in Your Possession? (Check One)
YES
NO
License Plate Number
Vehicle Year
Make
Vehicle Identification Number
Name of Vehicle Owner who Authorized Repairs
Street Address
City
State
Zip
Date Repairs Completed
Total Amount of Repairs
Date Storage Charges Began
Total # Days Stored
Total Amount of Storage
$
$
I certify the information and statements on this request are true and correct and comply with the Garage Keeper’s Lien
Act (Public Act 312 of 1915, as amended), the Motor Vehicle Service and Repair Act (Public Act 300 of 1974), and state
and federal driver privacy protection laws. Information from Secretary of State records concerning vehicle ownership is
requested for the sole purpose of pursuing legal remedies or recovering a debt from an individual or business. I
understand the disclosure of information obtained from Secretary of State records for a purpose other than stated on this
request, or the sale or other distribution of information to a person or organization not disclosed in this request may result
in penalties imposed under MCL 257.903 and other provisions of law.
Signature
Date
Warning: Under Michigan Law, a person who makes a false representation or false certification to obtain personal information or who uses
personal information for a purpose other than identified above is guilty of a felony, which may be punishable by imprisonment of up to 15
years, a fine of up to $15,000, or both.
Note: To qualify for a GKL, the vehicle must be titled in Michigan.
Mail:
Completed application;
Itemized account statement showing the name of the person authorizing repairs and/or storage;
$10 application fee – Make check or money order payable to “State of Michigan”.
To:
Michigan Department of State
Special Services Branch
7064 Crowner Drive
Lansing, MI 48918
(517) 322-1473
BDVR-35 (02/17)
Authority Granted Under Public Act 312 of 1915, as Amended