"Nebraska Electronic Lien and Title Non-participating Lender Lien Release Form" - Nebraska

Nebraska Electronic Lien and Title Non-participating Lender Lien Release Form is a legal document that was released by the Nebraska Department of Motor Vehicles - a government authority operating within Nebraska.

Form Details:

  • Released on July 1, 2017;
  • The latest edition currently provided by the Nebraska Department of Motor Vehicles;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Nebraska Department of Motor Vehicles.

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Download "Nebraska Electronic Lien and Title Non-participating Lender Lien Release Form" - Nebraska

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Nebraska Electronic Lien and Title
Non-Participating Lender
Lien Release
This lien release form is to be completed by a lender who does not participate in the
Nebraska Electronic Lien and Title program, currently appears as the lienholder on the
DMV’s records for vehicle identified below and is releasing interest in such vehicle.
Upon completion of this form the Lender must submit this form direct to a Nebraska
County Treasurer’s Office for the lien release to occur.
Lender:
(Must match lender identified as lienholder on DMV records)
Vehicle Owner:
(Must match owner identified on DMV records)
Vehicle Identification Number (VIN):
Vehicle Year:
Vehicle Make:
Name of Entity and Address where printed Nebraska Certificate of Title is to be mailed:
(Name of current owner – may be dealership, insurance company etc. that has recently acquired ownership.)
Name:
Phone:
(Authorized Representative of Lienholder)
Signature:
(Authorized Representative of Lienholder)
Title:
Date:
Subscribed and sworn before me the
day of
, 20
.
Signature Notary Public or Designated County Official
My commission expires on
.
Notary Seal
Rev. 7/2017
Reset
Print
Nebraska Electronic Lien and Title
Non-Participating Lender
Lien Release
This lien release form is to be completed by a lender who does not participate in the
Nebraska Electronic Lien and Title program, currently appears as the lienholder on the
DMV’s records for vehicle identified below and is releasing interest in such vehicle.
Upon completion of this form the Lender must submit this form direct to a Nebraska
County Treasurer’s Office for the lien release to occur.
Lender:
(Must match lender identified as lienholder on DMV records)
Vehicle Owner:
(Must match owner identified on DMV records)
Vehicle Identification Number (VIN):
Vehicle Year:
Vehicle Make:
Name of Entity and Address where printed Nebraska Certificate of Title is to be mailed:
(Name of current owner – may be dealership, insurance company etc. that has recently acquired ownership.)
Name:
Phone:
(Authorized Representative of Lienholder)
Signature:
(Authorized Representative of Lienholder)
Title:
Date:
Subscribed and sworn before me the
day of
, 20
.
Signature Notary Public or Designated County Official
My commission expires on
.
Notary Seal
Rev. 7/2017