Mechanic Lien under $4000
Storage Lien under $4000
Mechanice Lien over $4000
Storage Lien over $4000
Mechanic Lien under $4000
Storage Lien under $4000
Mechanice Lien over $4000
Storage Lien over $4000
Me
chanic Lien Sale Request Form for V
EHICLE VALUED $4000 OR LESS
The cost to process a lien sale is $475.00. Please fill out the form below. Information with the red star is mandatory.
*
Indicates required field
License Number
*
State Registered
*
License Exp Date
*
VIN
*
Date the vehicle came into my possession
*
Date the owner billed for services
*
Date work or services completed
*
Total Repair Cost
*
Lien sale date (must be over 45 days from today)
*
Lien sale time
*
Lien sale location address
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City
*
State
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Zip Code
*
Company Name
*
Phone Number
*
Address
*
City
*
State
*
Zip Code
*
Your Name
*
Email
*
Phone Number
*
Credit Card Holder's Name
*
Credit Card Number
*
Expiration Date
*
Security Code
*
In the signature box on the back of the card, you should see either the entire 16-digit credit card number or just the last four digits followed by a 3-digit code. This 3-digit code is your Card Security Code.
Billing Address
*
City
*
State
*
Zip Code
*
By hitting submit, I authorize ELT Data LLC to charge my credit card for $75.00.
Submit
Lien Sale Request
Mechanic Lien under $4000
Storage Lien under $4000
Mechanice Lien over $4000
Storage Lien over $4000
Mechanic Lien under $4000
Storage Lien under $4000
Mechanice Lien over $4000
Storage Lien over $4000