Possessory Liens/Abandoned Vehicles
Oregon DMV
In order to title a vehicle, one must have acquired a legal interest through some legal process.
A WRZHU claiming a possessory lien must have a valid tow business certificate issued under ORS 822.205
This packet contains:
,nformationabout asking advice fromDMV
*eneral informationon some situations where ownershipof a vehiclemay be transferable through a possessorylien
process
,nformation on abandonedvehicles
,nformation on documentsand feesneeded to applyfor title
$nswers to some frequentlyaskedquestionsnot otherwise covered in the above information
7heDMV-issuedformsto use when applying for title when a vehicle has been sold based on a possessory lien
foreclosureDQG
/awscovering possessorylienV and abandoned vehicleV DUHOLVWHGRQWKHIRUPVDQGDYDLODEOHRQOLQHDW
ZZZRUHJRQOHJLVODWXUHJRYELOOVBODZV3DJHV256DVS[
Advice from DMV
DMVcannotadvise youwhich, if any, of the laws or forms referenced in this packet fityour particularsituation. There
may be other
laws or legalprocedures that could befollowed in disposing of an abandoned vehicle or obtaining an
interest in a vehicle. If youhave questions concerningZKLFK lawsmay apply orabout the process for claiming or
foreclosing alien, you may wish to seek legalcounselfor advice, orresearch onyour own.
General information
Some situations where ownership of a vehicle may be transferable through the possessory lien process:
Vehicles owned by a tenant or occupant legally responsible for rent, which was brought upon the leased
premises, and retained by the landlord to secure payment of rent.
The landlord may have a claim to a lienunder
ORS 87.162. If you foreclose a lien based on these statutes, title should be applied for using a Certificateof
Possessory Lien Foreclosure, Form 735-518.
Vehicles abandoned on private property and removed at the request of the owner or lawful possessor of the
property, in accordance with 256 98. The person towing the vehicle may have a claim to a lien under ORS
98.83. If you foreclose a lien based on these statutes, title should be applied for using a Certificate of
Possessory Lien Foreclosure, Form 735-519.
Vehicles repaired, stored, towed, etc, at the request of the owner or lawful possessor of the vehicle. The person
who repaired, stored, or towed the vehicle may have a claim to a lien under ORS 87.152.
• If foreclosing a lien based on ORS 87.152, title should be
applied for using a Certificate of Possessory Lien
Foreclosure, Form 520.
• Surety Bond Form 735-522B or an irrevocable letter of credit in the amount of $20,000 is required to be on
file with DMV unless the lien claimant is: a franchised dealership, as defined under ORS 650.120 (5); a
manufacturer, as defined under ORS 650.120; holds a towing business certificate issued under ORS
822.205; or is a national auction company titling the vehicle pursuant to ORS 87.152 (3).
• Lien claimants required to file Surety Bond Form 735-522B or an irrevocable letter of credit must also submit
to DMV an annual written certification that the bond or letter is still in effect.
Vehicles abandoned by a tenant with whom you have a lease
or rental agreement (ORS 90.425). If you foreclose
a lien based on this statute, title should be applied for using a Certificate of Possessory Lien Foreclosure, Form
735-521.
Vehicles towed at the request of an appropriate authority(Oregon State Police, Department of Transportation, a
county, city) when the vehicle was abandoned or taken into custody by an appropriate authority and towed atthe
request of the authority. The person towing the vehicle may have a claim to a lien under ORS,I\RX
IRUHFORVHDOLHQEDVHGRQWKHVHVWDWXWHVWLWOHVKRXOGEHDSSOLHGIRUXVLQJD&HUWLILFDWHRI3RVVHVVRU\/LHQ
)RUHFORVXUH)RUP
Vehicles left or parked in violation of ORS 98.810 and removed from either proscribed property or from aparking
facility at the request of the owner of the parking facility or the owner of the proscribed property. Thetower,who
removed the vehicle, may have a claim to a lien under ORS 98.812. If you foreclose a lien based onthese
statutes, title should be applied for using a Certificate of Possessory Lien Foreclosure, Form 735-6605.
735-6828 PACKET (6-22)
STK# 300411
DEPARTMENT OF TRANSPORTATION
DRIVER AND MOTOR VEHICLE SERVICES
1905 LANA AVE NE, SALEM OREGON 97314
DM V
Possessory Liens/Abandoned Vehicles
Oregon DMV
Abandoned Vehicles
In order to title any vehicle, including abandoned vehicles, one must have acquired a legal interest through D
legal process. Generally, it will not be the property owner, but whoever purchases the vehicle at a subsequent sale
by a lien claimant or authority, who may apply for title.
There are various provisions available for disposal of abandoned vehicles including the following:
For vehicles abandoned on DKLJKZD\SXEOLFRUSULYDWHSURSHUW\, Oregon law (ORS Chapter 819) allows for DQ
DSSURSULDWHDXWKRULW\(e.g. state, county, city) to remove the vehicle. Some local governments may also have
ordinances governing the disposal. If the vehicle is abandoned on federal property, federal laws would apply.
For vehicles abandoned on private property, Oregon law (ORS 98.830) states:
"A person who is the owner, or is in lawful possession of private property on which a vehicle has been abandoned
may have a tower tow the vehicle from the property if:
(1) The person affixes a notice to the vehicle stating that the vehicle will be towed if it is not removed. The
notice required by this subsection must remain on the vehicle for 72 hours before the vehicle may be
removed.
(2) The person fills out and signs a form
* that includes:
(a) a description of the vehicle to be towed;
(b) the location of the property from which the vehicle will be towed;
(c) statement that the person has complied with subsections (1) of this section.
*NOTE: DMV does not provide you with a form. The information needed {described in
(2) (a),(b),(c)} can be written on a separate piece of paper.7KHIRUPVKRXOGEH
JLYHQWRWKHWRZFRPSDQ\ZKRUHPRYHVWKHYHKLFOH
For vehicles abandoned on private property, ORS 819.280 allows a person to make a request to an authority
(state, city, or county) to dispose of a vehicle abandoned on private property, when it is appraised at a value of
$500 or less, by a person who holds a certificate issued under ORS 819.480, and the person making the request is
determined to be in lawful possession of the vehicle. If the authority chooses to dispose of the vehicle, the
authority may only dispose of the vehicle and its contents to a person who holds a valid dismantler certificate
issued under ORS 822.110. The authority may charge the person requesting the disposal a fee to dispose of the
vehicle.
For vehicles left or parked in a parking facility or on proscribed property defined in ORS 98.805, ORS 98.812
states that "…the owner of the parking facility or the owner of the proscribed property, may have a tower tow the
vehicle from the parking facility or the proscribed property and place the vehicle in storage at a secure location
under the control of the tower." The statute further states that the tower is entitled to a lien on the vehicle and
contents.
There may be other provisions that could apply, such as when the vehicle owner was a former tenant of the
property owner and owes rent, or when the property owner performed labor on the vehicle or stored the vehicle at
the request of the vehicle owner or lawful possessor
. Again, you may wish to seek legal counsel or research on
your own if you have questions about whether you can claim a lien, or what steps you must follow to claim and to
foreclose on such a lien.
Titling a previously abandoned vehicle:
To obtain title, a person must have acquired a legal interest in
a vehicle. In most cases people do this through some
form of purchase or financial agreement; that change of interest is accomplished through the voluntary assignment of
the existing title for the vehicle.
In the case of an abandoned vehicle, any transfer of interest will be involuntary and require some form of legal process
(operation of law). One cannot simply obtain title because the vehicle was left on one's property.
Possessory Liens/Abandoned Vehicles
Oregon DMV
In most cases of abandoned vehicles, the existing title is not available for transfer. In lieu of a properly endorsed title,
and in addition to any other title requirements, DMV must receive satisfactory evidence of the facts entitling the
applicant to title. For example:
For an abandoned vehicle sold by an appropriate authority (for example, state police, county sheriff, or a city) and
where the vehicle is not otherwise subject to salvage title procedures, the purchaser may apply for title. A bill of
sale to the purchaser from the appropriate authority will be required in support of the application for title. The bill of
sale must describe the vehicle, identify the statutes or legal authority under which the sale was held, and indicate
that former interest holders were notified.
For a vehicle sold through foreclosure of a lien by the party who to
wed the vehicle, whoever purchased the vehicle
at the lien foreclosure sale may apply for title. A certification from the tow company concerning the lien and
foreclosure and to whom the vehicle was sold is required in support of the title application. (Tow companies can
obtain SRVVHVVRU\OLHQ forms from DMVZKLFKFRQWDLQWKLVFHUWLILFDWLRQ.)
For a vehicle sold through foreclosure of some other type of lien foreclos
ure, whoever acquires the vehicle through
the foreclosure process may apply for title. A certification from the lien claimant is required in support of the title
application. Certification forms for the more common liens (for example, possessory labor/storage liens, landlord
liens) are included in this packet or may be obtained from DMV.
Documents and fees needed to apply for title:
After the lien has been foreclosed, the appropriate Fertificate of Sossessory Oien Ioreclosure form PXVW be fully
completed and signed by the person foreclosing the lien. Towers must include DYDOLG tRw plate number. The form is
then given to the purchaser. The purchaser or a subsequent buyer may then apply for title.7RZHUVPXVWXVHWKHVDPH
OLHQFODLPDQWQDPHDVLVRQWKHYDOLGWRZSODWHUHFRUG
To apply for title, the purchaser must submit:
$Q$SSOLFDWLRQIRU7LWOHDQG5HJLVWUDWLRQ)RUPIXOO\FRPSOHWHGDQGVLJQHG
ONEof the Certification of Possessory Lien forms (the one that covers your situation), fully completed and signed
by the authorized representative of the business or the person claiming the lien. Your application will be rejected if
you submit more than one type of form for certifying foreclosureDQG
The appropriate title application fee. If the vehicle was lasttitled in Oregon, you must submit an application for title
to DMV within 30 days from the date of the auction to avoid paying late fees.
NOTE: If the vehicle was last titled in another state, or must be titled as assembled, reconstructed or replica, DMV
must complete a physical inspection of the vehicle's identification number. The fee for the inspection is $7.
Lien Claimants Required To Keep Records
Lien claimants are required to keep records sufficient to establish that all vehicles being sold or offered for sale were
acquired by the lien claimant as the result of a possessory lien. Records must be retained for a period of five years by
the lien claimant. The following records must be retained:
A signed and dated copy of an original tow notification, repair order, an impound form from law enforcement or
other similar form or document showing how the lien claimant acquired possession of the subject vehicle, or a
written record that identifies the person or entity that authorized the lien claimant to take possession of the
subject vehicle and the time and date of contact;
A signed and dated copy of an original claim of possessorylien/notice of foreclosure sale form applicable to
the possessory lien or similar form or document showing the owner of the vehicle was notified of the
possessory lien;
A signed and dated copy of the DMV certificate of possessory lien foreclosure form applicable to the
possessory lien as specified in OAR 735-020-0012 for each subject vehicle; and
A bill of sale, if applicable.
A lien claimant must notify DMV within 10 days of the sale or transf
er of interest of a vehicle. DMV must receive a
completed and signed Notice of Sale or Transfer of Vehicle (DMV Form 6890), if the subject vehicle is covered by an
Oregon title; or a completed and signed Notice of Lien Foreclosure; Sale or Transfer of Vehicle (DMV Form 6890A), if
the subject vehicle is not covered by an Oregon title.
Possessory Liens/Abandoned Vehicles
Oregon DMV
Out-of-State Possessory Liens:
•
I have a possessory lien document, sheriff's sale document, or similar ownership document issued by a jurisdiction
outside of Oregon. Can I apply for an Oregon certificate of title using one of these documents?
No. Oregon DMV will not accept an application for vehicle title when ownership is being transferred under out-of-
state abandoned vehicle laws or out-of-state foreclosure laws. An Oregon title will be issued only after the lien
claimant or purchaser is issued a certificate of title by the jurisdiction where the foreclosure occurred.
Donating an Abandoned Vehicle:
•
A vehicle has been abandoned on my property. Can I donate it to a charity?
No, you cannot give away an abandoned vehicle, even if it's on your propertyXVOHVV\RXDUHDODQGORUGLQ
accordance with ORS 90.425. See Certificate of Lien Foreclosure, Form 735-521. Oregon law contains
several specific provisions for the disposal of abandoned vehicles. See the "Abandoned Vehicles" section
for additional information on the disposal of abandoned vehicle
s.
Possessory Lien Foreclosure Forms:
•
Do I need to complete the entire form?
Yes. A possessory lien foreclosure form must be fully completed and signed before it will be accepted.
•
Are there additional forms that need to be completed?
See the "Documents and Fees" section for additional information on the forms that you will need to apply for title
after a possessory lien is officially foreclosed.
•
Are there special instructions for completing the form?
No. Just be sure that each section of the form is complete and that you have signed the form. Your signature
certifies that you have complied with all applicable lien foreclosure laws and rules. If
you're not sure, you may want to
seek
legal advice from an attorney.
•
Which possessory lien foreclosure form do I use to file a possessory lien?
DMV cannot adviVe you on the particular foreclosure process or foreclosureIRUPWKDWDSSOLHVWR\RXUVLWXDWLRQ
If you're not sure, you may want to seek legal advice from an attorney.
•
Can I just complete and submit all DMV possessory lien forms?
No. Your application will be rejected if you submit more than one form. Each form references different laws,
rules and requirements. It's your responsibility to know the laws that apply to your situation. If you're not sure,
you may wa
nt to seek legal advice from an attorney.
Professional Lien Services:
•
Am I required to use a professional lien service?
No. You can file the lien yourself or use a professional lien service. In either case, all applicable laws and
rules must be followed.
Requesting Information on a Vehicle Owner:
•
Am I required to contact the vehicle owner when foreclosing a lien?
It depends on the type of lien that is being foreclosed and the laws that apply. If you're not sure, you may want to
seek legal advice from an attorney.
•
Can I request information from DMV to notify the vehicle owner for purposes of a lien foreclosure?
Yes. DMV will process a records request for this purpose if the request is made in writing, includes a $4
processing fee and contains all of the following information:
•
The vehicle year, make, model, YHKLFOHidentification number (VIN) and license plate number;DQG
•
A signed statement that the record information is requested for purposes of "providing notice of a lien
foreclosure." Include a citation of the applicable law(s) authorizing the foreclosure (ORS #, Local Ordinance #,
etc.). In addition to the requirements above, records requests from a business must include the name of the
business or be on official letterhead stationery and must be signed by an authorized representative.
Request Example: I hereby request the vehicle record for the vehicle listed below. Any personal information contained
in the record will be used solely for the purpose of providing notice of a lien foreclosure under ORS 123.456. 1994
Ford PU, plate # ABC123, VIN 123456789ABCDEFG.
Submit your request and $4 fee to: DMV Record Services Unit, 1905 Lana Ave NE, Salem, OR 97314.
Answers to Frequently Asked Questions
735-518 (1-8)
DEPARTMENT OF TRANSPORTATION
DRIVER AND MOTOR VEHICLE SERVICES
1905 LANA AVE NE, SALEM OREGON 97314
DM V
STK# 300166
)THELIENCLAIMANTFURTHERCERTIFYTHATALLINFORMATIONGIVENISTRUEANDACCURATEANDTHAT)AMMAKINGTHIS
CERTIFICATIONINSUPPORTOFANAPPLICATIONFORTITLE)UNDERSTANDITISACRIMEUNDER/23TOCERTIFYTHE
TRUTH OF A STATEMENT WHEN ) KNOW THE STATEMENT IS NOT TRUE 3UCH A CRIME IS A #LASS ! MISDEMEANOR
PUNISHABLEBYAJAILSENTENCEOFUPTOYEARANDAFINEOFUPTOORBOTH
PRINTED NAME OF LIEN CLAIMANT
STREET ADDRESS
STATE
ZIP CODE
PHONE NUMBER
SIGNATURE OF LIEN CLAIMANT
X
CITY
I certify that:
The following described vehicle was owned by a tenant or occupant legally responsible for
rent and was brought upon the leased premises by said person;AND
I, or the firm I represent, am the landlord of the leased property and a possessory landlord's
lien is attached to the vehicle pursuant to ORS 87.162 and 87.166.
I foreclosed the possessory lien in accordance with the provisions of ORS 87.172 and ORS
87.176 to 87.206 and
The vehicle described below was sold at public auction to:
•
•
•
PLATE NUMBER STATE OF ISSUE VEHICLE YEAR MAKE BODY STYLE
VEHICLE IDENTIFICATION NUMBER
MODEL
4HIS CERTIFICATION IS FOR USE IN SUPPORT OF /REGON TITLE APPLICATIONS WHERE TRANSFER OF OWNERSHIP RESULTS FROM THE
FORECLOSUREOFAPOSSESSORYLANDLORDgSLIENCREATEDUNDER/23WHERETHEVEHICLEOWNEDBYATENANTOR
OCCUPANTLEGALLY RESPONSIBLEFORRENTWAS BROUGHT UPON THE LEASEDPREMISESANDRETAINEDBYTHELANDLORDTO
SECUREPAYMENTOFRENTANDSUCHADVANCESMADEUPONBEHALFOFTHETENANT4HISFORMMAYNOTBEUSEDWHERE
THEREISPREVIOUSLYPERFECTEDSECURITYINTERESTINAVEHICLEANDWHEREASPROVIDEDIN/23THELIENMUST
BEFORECLOSEDBYSUIT
COMPLETE IN FULL AND SIGN.
This form must be submitted to DMV with the application for title.
CERTIFICATE OF POSSESSORY LIEN FORECLOSURE
(ORS 87.162 - LANDLORDS LIEN )
<RXPD\REWDLQFRSLHVRIODZVDW\RXUORFDOOLEUDU\RUDWZZZRUHJRQOHJLVODWXUHJRYELOOVBODZV3DJHV256DVS[
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SALEWEREACQUIREDBYTHELIENCLAIMANTASTHERESULTOFAPOSSESSORYLIEN2ECORDSINCLUDINGASIGNEDANDDATED
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LIENCLAIMANT&AILURETOMAINTAINLIENRECORDSMAYRESULTINACIVILPENALTYOFUPTOPERVIOLATION
•
$uyer’s name and date of auction TGSWKTGF.
__________________________________________(Buyer’s printed name)
??????????????????????????????????????????,OCATION OF AUCTION
__________________________________________(Date of auction)
735-519 (-1)
STK# 300152
)THELIENCLAIMANTFURTHERCERTIFYTHATALLINFORMATIONGIVENISTRUEANDACCURATEANDTHAT)AMMAKINGTHIS
CERTIFICATIONINSUPPORTOFANAPPLICATIONFORTITLE)UNDERSTANDITISACRIMEUNDER/23TOCERTIFYTHE
TRUTH OF A STATEMENT WHEN ) KNOW THE STATEMENT IS NOT TRUE 3UCH A CRIME IS A #LASS ! MISDEMEANOR
PUNISHABLEBYAJAILSENTENCEOFUPTOYEARANDAFINEOFUPTOORBOTH
STREET ADDRESS
STATE
ZIP CODE
PHONE NUMBER
SIGNATURE OF LIEN CLAIMANT
X
CITY
PLATE NUMBER STATE OF ISSUE VEHICLE YEAR MAKE
VEHICLE IDENTIFICATION NUMBER
BODY STYLE
MODEL
I certify that:
•
•
•
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TOWER PLATE NUMBER (TW PLATE)
PRINTED NAME OF LIEN CLAIMANT (A TOWER MUST HAVE A VALID TOW BUSINESS CERTIFICATE ISSUED UNDER ORS 822.205)
This form must be submitted to DMV with the application for title.
COMPLETE IN FULL AND SIGN.
(ORS 98.84/7).'!"!.$/.%$6%()#,%&2/-02)6!4%02/0%249)
$uyer’s name and date of auction TGSWKTGF.
__________________________________________(Buyer’s printed name)
??????????????????????????????????????????,OCATIONOFAUCTION
__________________________________________(Date of auction)
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DEPARTMENT OF TRANSPORTATION
DRIVER AND MOTOR VEHICLE SERVICES
1905 LANA AVE NE, SALEM OREGON 97314
DM V
•
CERTIFICATE OF POSSESSORY LIEN FORECLOSURE
(You may obtain copies of laws at your local library or at ZZZRUHJRQOHJLVODWXUHJRYELOOVBODZV3DJHV256DVS[
CERTIFICATE OF POSSESSORY LIEN FORECLOSURE FORM
(ORS 87.152 - LIEN FOR LABOR AND MATERIALS) 520
(You may obtain copies of laws at your local library or at www.oregonlegislature.gov/bills_laws/Pages/ORS.aspx.)
This certification is for use in support of Oregon title applications where transfer results from the
foreclosure of a possessory lien created under ORS 87.152. That statute provides for a lien for labor or materials
expended on a chattel (including a vehicle) in situations where at the request of the owner or lawful possessor
of a chattel (e.g., vehicle), a person makes, alters, repairs, transports, stores, pastures, cares for, provides
services for, supplies materials for or performs labor on a chattel.
ORS 822.093 requires lien claimants to keep records sufficient to establish that all vehicles being sold or offered for
sale were acquired by the lien claimant as the result of a possessory lien. Records, including a signed and dated
copy of this DMV certificate of possessory lien foreclosure form, must be retained for a period of five years by the
lien claimant. Failure to maintain lien records may result in a civil penalty of up to $1,000 per violation.
I certify that:
I, or the firm I represent, at the request of the owner or lawful possessor, performed a service
pursuant to ORS 87.152 and 87.166 on the v
ehicle described below.
I foreclosed the possessory lien in accordance with the provisions of ORS 87.172 and ORS
87.176 to 87.206 and 822.205 if a tower; and
I complied with all applicable statutory requirements, including notification of al
l security
interest holders as listed on the Certificate of Title, in accordance with ORS 87.196.
The vehicle described below was sold or transferred at public auction to:
Check this box if you are a national auction company titling the vehicle pursuant to ORS 87.152(3).
Buyer or transferee’s name, location of auction, date of auction required.
(Buyer's printed name)
(Date of auction)
(Location of auction)
PLATE NUMBER (IF AVAILABLE) STATE OF ISSUE (IF KNOWN)
VEHICLE YEAR MAKE BODY STYLE
MODEL
VEHICLE IDENTIFICATION NUMBER
If not a manufacturer, franchised motor vehicle dealership, or registered tower, I certify that a surety bond of $20,000 or
irrevocable letter of credit is in effect and filed with DMV on the date of this action. (If a current surety bond or letter is
not on file with DMV, this possessory lien is invalid.) I (the lien claimant) further certify that all information given is true
and accurate and that I am making this certification in support of an application for title. I understand it is a crime under
ORS 803.075 to certify the truth of a statement when I know the statement is not true. Such a crime is a Class A
misdemeanor punishable by a jail sentence of up to 1 year and a fine of up to $6,250, or both.
PRINTED NAME OF LIEN CLAIMANT (NAME MUST BE THE SAME AS ON THE SURETY BOND OR IRREVOCABLE LETTER OF CREDIT IF APPLICABLE)
PHONE NUMBER (REQUIRED)
STREET ADDRESS CITY STATE ZIP CODE
SIGNATURE OF LIEN CLAIMANT
X
DATE
COMPLETE IN FULL AND SIGN.
This form must be submitted to DMV with the application for title.
735-520 (1-22)
STK# 300167
•
•
•
•
Attention Buyer: If the lien claimant is required to file a surety bond or irrevocable letter of credit with DMV but
has not, this lien certification will be considered invalid.
735-521 (-)
STK# 300153
DEPARTMENT OF TRANSPORTATION
DRIVER AND MOTOR VEHICLE SERVICES
1905 LANA AVE NE, SALEM OREGON 97314
DM V
,WKHOLHQFODLPDQWIXUWKHUFHUWLI\WKDWDOOLQIRUPDWLRQJLYHQLVWUXHDQGDFFXUDWHDQGWKDW,DPPDNLQJWKLV
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PRINTED NAME OF LIEN CLAIMANT
SIGNATURE OF LIEN CLAIMANT
X
STREET ADDRESS CITY STATE ZIP CODE
PHONE NUMBER
OR
,RUWKHILUP,UHSUHVHQWKDYHGHWHUPLQHGIURPFRXQW\UHFRUGVWKDWWKHFXUUHQWIDLUPDUNHW
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____________________________________(Given to); ______________(Date of disposal)
I certify that:
•
•
•
7KLVFHUWLILFDWLRQLVIRUXVHLQVXSSRUWRI2UHJRQWLWOHDSSOLFDWLRQVZKHUHWUDQVIHUUHVXOWVIURPWKHIRUHFORVXUHRID
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PLATE NUMBER STATE OF ISSUE VEHICLE YEAR MAKE BODY STYLE
VEHICLE IDENTIFICATION NUMBER
MODEL
This form must be submitted to DMV with the application for title.
COMPLETE IN FULL AND SIGN
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BOND NUMBER
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(NAME OF INDIVIDUAL LIEN CLAIMANT, OR NAMES OF ALL BUSINESS OWNERS, PARTNERS, OR NAME OF CORPORATION)
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(STREET ADDRESS, CITY, STATE, ZIP CODE)
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AS RESPONSIBLE PERSON / PERSONS, AND
(SURETY NAME)
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(ADDRESS, CITY, STATE, ZIP CODE)
(TELEPHONE NUMBER)
DMV BUSINESS LICENSING
1905 LANA AVE NE
SALEM, OR 97314
THIS SURETY BOND
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THIS
SURETY BOND IS REQUIRED TO BE IN EFFECT AT ANY TIME
DESCRIBED IN ORS 87.152, INCLUDING WHEN SUBMITTING A
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REQUIRED TO MAINTAIN THIS SURETY BOND MUST SUBMIT A LETTER
TO DMV YEARLY CERTIFYING THIS BOND REMAINS IN EFFECT.
A CORPORATION ORGANIZED AND EXISTING UNDER AND BY VIRTUE OF THE LAWS OF THE STATE OF _________________,
AND AUTHORIZED TO TRANSACT A SURETY BUSINESS IN THE STATE OF OREGON, AS SURETY, IS HELD AND FIRMLY
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PAYMENT OF WHICH THE RESPONSIBLE PERSON / PERSONS AND SURETY JOINTLY AND SEVERALLY BIND THEMSELVES
AND THEIR RESPECTIVE SUCCESSORS.
WHEREAS, THE RESPONSIBLE PERSON / PERSONS ARE FORECLOSING A POSSESSORY LIEN CREATED UNDER ORS 87.152;
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FORECLOSES THE LIEN, SAID RESPONSIBLE PERSON / PERSONS SHALL CONDUCT SUCH BUSINESS WITHOUT FRAUD OR
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THIS BOND SHALL BECOME EFFECTIVE ON THE DATE LISTED BELOW AND SHALL BE DEEMED CONTINUOUS IN FORM AND
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THIS BOND IS EFFECTIVE ___________________________
(MONTH, DAY, YEAR)
-- ANY ALTERATION VOIDS THIS BOND --
IN WITNESS WHEREOF, THE SAID RESPONSIBLE PERSON / PERSONS AND SAID SURETY HAVE EACH EXECUTED THIS
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THIS ________________ DAY OF ___________________________________ , ___________ .
(DAY) (MONTH) (YEAR)
TITLE
SIGNATURE (RESPONSIBLE PERSON / PERSONS)
X
SIGNATURE OF SURETY (AUTHORIZED REPRESENTATIVE)
TITLE
X
SURETY'S AGENT OR REPRESENTATIVE MUST COMPLETE THIS SECTION: PLACE SURETY SEAL BELOW
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NAM
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TELE
PHONE NUMBER
( )
ADDRE
S
S
CITY, STATE, ZIP CODE
735-522
B (1-22)
APPROVED BY ATTORNEY GENERAL’S OFFICE
( )
(TELEPHONE NUMBER)
DMV
DEPARTMENT OF TRANSPORTATION
DRIVER AND MOTOR VEHICLE SERVICES
1905 LANA AVE NE, SALEM OREGON 97314
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PLATE NUMBER STATE OF ISSUE VEHICLE YEAR MAKE BODY STYLE
VEHICLE IDENTIFICATION NUMBER
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TOWER PLATE NUMBER (TW PLATE)
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