Print (Ctrl+P or cmd+P) and Fax To 760-499-1414 or use Submit button below
Name Of Party Requesting
DBA/Company (If Applicable)
Contact Name
Mailing Address
City, State, Zip
Email
Phone
Cell
Fax
BAR # (if a repair shop)
Bus Lic # (if a business
If the vehicle/vessel is stored at a location different from the address above, enter the location here. If same as above enter "Same" or "SAME AS ABOVE".
Address
Last Known Owner
Your Date Of Possession
Posted Storage Rate Per Day
Date Last Bill Sent To Owner
Vehicle, Trailer, or Motorcycle/ATV ValueUnder $4000Over $4000Boat / Vessel ValueUnder $1500Over $1500
Note: To claim a lien for storage past the first 15 days, you must start your lien sale during the first 15 days of possession, Storage fee can begin again when the lien sale has started
Year
make
Model
Vin #
Lic #
Engine # (if motorcycle)
State
No License PlatesVin Has Been AlteredEng # Has Been AlteredOut Of State License
Note: TMotorcycles and ATVs, We Must have both the Frame number and engine number. "We Cannot Process The Lien Without Both".
Note: If the vessel includes a trailer, enter the trailer information above. Stand alone trailers are considered vehicles.
Make
Hull #
CF #
Lgth
Hull # Has Been AlteredVessel Has No CF #Licensed Out Of State
Note: For Vessels, we can use either the hull # or CF #, both is better.
Pay with Stripe
I Accept
When you submit this form to Mo's Automotive Registration Service, Signed Or Not, It Is A Binding Contract. This form authorizes a lien to be processed by Mo's Automotive Registration Service with the information you provide, and that you will hold Mo's Automotive Registration Service harmless from any lawsuits, judgments, omissions or errors of any kind and under any circumstances. Mo's Automotive Registration Service Is Providing A Secretarial Service To You And Will Be Liable For The Cost Of The Lien Sale Processing Only.
I Certify
I certify under penalty of perjury under the laws of the State of California, that the information I have provided is true and correct.
Signature
Date
By clicking the "Submit" button below, you confirm that you have read and agree to the terms and conditions as set forth above.
