Lienholder (Name of Financial Institution or Individual):
Borrower Name:
Vehicle Information
Make:
Model:
Year:
VIN:
Lien Release Statement:
This is to certify that the above-mentioned lienholder acknowledges the full satisfaction of the lien held on the above-described vehicle. The lien is hereby released and the ownership of the said vehicle is transferred free of any encumbrance by the lienholder.