Form MVR-6T Temporary Lien Recording Application - North Carolina

Form MVR-6T or the "Temporary Lien Recording Application" is a form issued by the North Carolina Department of Transportation - Division of Motor Vehicles.

The form was last revised in October 1, 2017 and is available for digital filing. Download an up-to-date Form MVR-6T in PDF-format down below or look it up on the North Carolina Department of Transportation - Division of Motor Vehicles Forms website.

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MVR-6T
North Carolina Division of Motor Vehicles
(Rev. 10/17)
TEMPORARY LIEN RECORDING APPLICATION
VEHICLE SECTION
BODYSTYLE
SERIES MODEL
VEHICLE IDENTIFICATION NUMBER
FUEL TYPE
YEAR
MAKE
OWNER SECTION
Owner 1 ID#
Full Legal Name of Owner 1 (First, Middle, Last, Suffix) or Company Name
Owner 2 ID#
Full Legal Name of Owner 2 (First, Middle, Last, Suffix) or Company Name
Residence Address (Individual) Business Address (Firm)
City and State
Zip Code
Tax County
Mail Address
different from above)
(if
LIEN SECTION
DISCLOSURE SECTION
Date of Lien
FIRST LIEN
All motor vehicle records maintained by the North
Carolina Division of Motor Vehicles will remain closed
Maturity Date (MH)
Account #
for marketing and solicitation unless the block
Lienholder Name
below is checked.
I (We) would like the personal information contained in
Address
be
this application to
available for disclosure.
City
State
Zip Code
APPLICATION MUST BE SIGNED IN INK BY EACH OWNER OR AUTHORIZED REPRESENTATIVE OF FIRMS OR CORPORATIONS.
I (we), the owner(s) of the vehicle described on this application certify that the information on the application is true and correct.
OWNER'S SIGNATURE
State ________________________
Date
County
certify that the following person(s) personally appeared before me this day, each acknowledging to me that he or she voluntarily signed the foregoing document for the
I
purpose stated therein and in the capacity indicated:
(name(s) of principal(s)).
Notary
Notary Printed
Signature
or Typed Name
(SEAL)
My Commission Expires
DEALER SECTION
New
Purchase Date
Used
Previous NC Title Number
I certify that the above vehicle has been sold to the person(s) listed above. I further certify that the title for this vehicle is
currently unavailable and this form is being filed to record the lien declared above. I understand that the notation of this lien
will expire 60 days after the creation of the security interest, or upon perfection of the security interest with a title
application and supporting documents.
Signature of Dealer or Agent:
Dealer#
Printed Firm
Name
Date
County
State
I
certify that the following person(s) personally appeared before me this day, each acknowledging to me that he or she voluntarily signed the foregoing document for the
purpose stated therein and in the capacity indicated:
(name(s) of principal(s)).
Notary
Notary Printed
or Typed Name
Signature
My Commission Expires
(SEAL)
MVR-6T
North Carolina Division of Motor Vehicles
(Rev. 10/17)
TEMPORARY LIEN RECORDING APPLICATION
VEHICLE SECTION
BODYSTYLE
SERIES MODEL
VEHICLE IDENTIFICATION NUMBER
FUEL TYPE
YEAR
MAKE
OWNER SECTION
Owner 1 ID#
Full Legal Name of Owner 1 (First, Middle, Last, Suffix) or Company Name
Owner 2 ID#
Full Legal Name of Owner 2 (First, Middle, Last, Suffix) or Company Name
Residence Address (Individual) Business Address (Firm)
City and State
Zip Code
Tax County
Mail Address
different from above)
(if
LIEN SECTION
DISCLOSURE SECTION
Date of Lien
FIRST LIEN
All motor vehicle records maintained by the North
Carolina Division of Motor Vehicles will remain closed
Maturity Date (MH)
Account #
for marketing and solicitation unless the block
Lienholder Name
below is checked.
I (We) would like the personal information contained in
Address
be
this application to
available for disclosure.
City
State
Zip Code
APPLICATION MUST BE SIGNED IN INK BY EACH OWNER OR AUTHORIZED REPRESENTATIVE OF FIRMS OR CORPORATIONS.
I (we), the owner(s) of the vehicle described on this application certify that the information on the application is true and correct.
OWNER'S SIGNATURE
State ________________________
Date
County
certify that the following person(s) personally appeared before me this day, each acknowledging to me that he or she voluntarily signed the foregoing document for the
I
purpose stated therein and in the capacity indicated:
(name(s) of principal(s)).
Notary
Notary Printed
Signature
or Typed Name
(SEAL)
My Commission Expires
DEALER SECTION
New
Purchase Date
Used
Previous NC Title Number
I certify that the above vehicle has been sold to the person(s) listed above. I further certify that the title for this vehicle is
currently unavailable and this form is being filed to record the lien declared above. I understand that the notation of this lien
will expire 60 days after the creation of the security interest, or upon perfection of the security interest with a title
application and supporting documents.
Signature of Dealer or Agent:
Dealer#
Printed Firm
Name
Date
County
State
I
certify that the following person(s) personally appeared before me this day, each acknowledging to me that he or she voluntarily signed the foregoing document for the
purpose stated therein and in the capacity indicated:
(name(s) of principal(s)).
Notary
Notary Printed
or Typed Name
Signature
My Commission Expires
(SEAL)

Download Form MVR-6T Temporary Lien Recording Application - North Carolina

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