The Alabama Form Mvt 5 63 is a document that can be used to request a copy of a birth or death certificate. This form must be filled out and submitted to the Alabama Department of Public Health, Vital Records Division in order to request a copy of the desired certificate. The processing time for this request typically takes between 4-6 weeks, so it is important to plan ahead if you need this document for legal purposes. There are certain restrictions on who can obtain copies of birth and death certificates, so please be sure to review the information on the Department's website before submitting your request.
This basic guide will help you ascertain the time it will require you to fill out alabama form mvt 5 63, the number of pages it's got, and a handful of other unique specifics of the form.
| Question | Answer |
|---|---|
| Form Name | Alabama Form Mvt 5 63 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | lien release form alabama, alabama form lien, application lien release, al form release |
ALABAMA DEPARTMENT OF REVENUE
MOTOR VEHICLE DIVISION
MVT
TITLE SECTION
P.O. Box 327640 • Montgomery, AL
www.revenue.alabama.gov/motorvehicle/forms.html
Application For Lien Release
VEHICLE MUST BE CURRENTLY TITLED IN THE STATE OF ALABAMA
This form must be completed by the lienholder, accompanied by the certificate of title or
application for replacement certificate of title, and mailed to the address listed above.
LIEN INFORMATION – FELONY OFFENSE FOR FAILURE TO NAME LIENHOLDER WITH INTENT TO DEFRAUD
NAME OF FIRST LIENHOLDER
MAILING ADDRESS
LIEN DATE (MM/DD/YY)
CITY |
STATE |
ZIP |
NAME OF SECOND LIENHOLDER
MAILING ADDRESS
LIEN DATE (MM/DD/YY)
CITY |
STATE |
ZIP |
VEHICLE / MANUFACTURED HOME IDENTIFICATION NUMBER
– All VINs for 1981 and subsequent year model vehicles that conform to federal
MAKE: __________ YEAR: ________ MODEL: ___________
VEHICLE OR MANUFACTURED HOME IDENTIFICATION NUMBER
COMPLETE ONLY IF MULTIPLE SECTIONS
MAKE: __________ YEAR: ________ MODEL: ___________
MANUFACTURED HOME IDENTIFICATION NUMBER
COMPLETE ONLY IF MULTIPLE SECTIONS
MAKE: __________ YEAR: ________ MODEL: ___________
MANUFACTURED HOME IDENTIFICATION NUMBER
COMPLETE ONLY IF MULTIPLE SECTIONS
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
MAKE: __________ YEAR: ________ MODEL: ___________ |
|
|
|
|
MANUFACTURED HOME IDENTIFICATION NUMBER |
|
|
|
|
|
||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
OWNER INFORMATION – The name of the owner(s) with whom the lienholder held a security agreement. FELONY OFFENSE FOR FALSE ADDRESS. |
|||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
NAME(S) (LAST NAME, FIRST, MIDDLE) |
|
|
|
|
|
||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
CURRENT MAILING ADDRESS |
|
|
|
|
|
||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
CITY |
|
STATE |
ZIP |
||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
LIEN RELEASE INFORMATION |
|
|
|
|
|
||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
DATE OF LIEN RELEASE: ______________________________
SIGNATURES
The lien recorded on the original certificate of title is hereby released. The lienholder hereby certifies that the above information is true and correct and the lienholder is aware that a false statement made on this document, with intent to defraud, is a criminal offense under the Alabama Uniform Certificate of Title and Antitheft Law as codified in Title 32, Chapter 8, CODE OF ALABAMA 1975.
_______________________________________________________
SIGNATURE OF AUTHORIZED REPRESENTATIVE
Sworn to and
subscribed before me, ________________________________________
NAME OF NOTARY PUBLIC – MUST BE TYPED OR PRINTED
this ______ day of _________________, _______
Notary Public Signature: ________________________________________
NOTE: NO FEE IS REQUIRED TO BE SUBMITTED WITH THIS FORM.