ELT Data - Storage Lien Sale Request Form for Vehicle Valued Under $4000

Storage Lien Sale Request Form for Vehicle Valued Under $4000

The cost to process a lien sale is $75.00. Please fill out the form below. Information with the red star is mandatory.

If the lien holder and registered owner do not object to the lien sale, you can sell the car 31 days after we initiate the lien sale process.

License Number *

State Registered *

License Exp Date *

VIN *

Date I took vehicle possession *

Date owner billed for services *

Date services completed *

Total Repair Cost *

Lien sale date (must be over 45 days from today) *

Lien sale time *

Lien sale location address *

City *

State *

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 *

Billing Address *

City *

State *

Zip Code *