Cyberdrive Illinois Mechanics Lien Form – Fill Out and Use This PDF

In A. GENERAL VEHICLE INFORMATION, enter the YEAR, MAKE, BODY STYLE and MODEL, the VEHICLE IDENTIFICATION NUMBER, and the LICENSE PLATE NUMBER, STATE OF ISSUANCE and EXPIRATION.

Print the name and complete address of the person who left the vehicle for repair and/or towing/storage.

In B. Mechanic's lien information, enter the date of lienholder first notice (See instructions.), the date storage fees begin (See instructions.), the date vehicle was towed and/or left for repair, the date repairs were completed and the total amount due for services (Attach a copy of invoice/work order.).

The mechanic lienholder must specify the items of labor and material and their corresponding values that comprise the lien.

Storage charges may not be incurred and/or charged prior to any written notice mailed by certified mail to the lienholder of record.

Enter the DETAILS OF THE ACQUISITION OF THE VEHICLE (Attach a separate sheet if necessary.).

In C. PUBLIC SALE INFORMATION, check one.

Lien of $2,000 or less (Chapter 770 50/1-50/6) - Notice sent by certified mail to owner(s) and lienholder(s) 30 days before sale of vehicle. (checked November 1, 2026)

Lien of more than $2,000 (Chapter 770 45/1 et seq. or Chapter 770 90/1 et seq.) - Notice sent by certified mail to owner(s) and lienholder(s) 30 days before sale of vehicle. (checked November 1, 2026)

Self-Service Storage Facility (Chapter 770 95/1 et seq.) - Notice sent by certified mail to owner(s) and lienholder(s) 15 days before sale of vehicle.

Under the box you check, fill in Notice published in: and A newspaper circulated in: , Illinois.

In D. SELLER/BUYER ASSIGNMENT/ODOMETER DISCLOSURE STATEMENT, the vehicle was lawfully sold at public sale under the statutory provisions in C. PUBLIC SALE INFORMATION at which said vehicle was purchased by: Purchaser's Printed Name.

Purchaser's Address. Federal and state laws require that mileage be reported in connection with the transfer of ownership. Failure to complete or providing a false statement may result in fines and/or imprisonment. By signing you certify to the best of your knowledge that the odometer reading is the actual mileage of the vehicle unless one of the following statements is checked: Odometer (No Tenths): 1. The mileage stated is in excess of its mechanical limits. 2. The odometer reading is not the actual mileage. WARNING - ODOMETER DISCREPANCY.

The undersigned hereby affirms that the labor, services, skill, or material provided upon or storage provided for the vehicle described in A. GENERAL VEHICLE INFORMATION was completed at the request of or with the consent of its owner, authorized agent of the owner, or lawful possessor thereof by Illinois Compiled Statutes. Furthermore, the undersigned will assume all liability and costs for any and all litigation that may arise from the sale of this vehicle and certifies under penalty of perjury that the facts contained herein are true and correct.

For the seller, sign the Signature of Seller (Mechanic Lienholder Agent's Name) line and enter the Printed Name of Seller (Mechanic Lienholder Agent and Business Name) and the Address of Seller (Mechanic Lienholder Business Address).

For the purchaser(s), sign the Signature of Purchaser(s) line and enter the Printed Name of Purchaser(s) and the Date of Sale/Odometer Disclosure.

After 60 days have lapsed without service payment, the mechanic lienholder must send a certified letter to the owner(s) and lienholder(s) of the vehicle.

If charges are not paid before the 91st day (60-day lapse plus 30-day notice), the mechanic lienholder may dispose of the vehicle at public sale under Chapter 770 ILCS 50/4.

After 30 days have lapsed without service payment, the mechanic lienholder must send a certified letter to the owner(s) and lienholder(s) of the vehicle.

Additionally, if the owner(s) and lienholder(s) name(s) are unknown, or if the certified mailing is returned as undeliverable, the mechanic lienholder also must file an Affidavit with the Clerk of the Circuit Court within the county of jurisdiction.

If charges are not paid before the 61st day (30-day lapse plus 30-day notice), the mechanic lienholder may dispose of the vehicle at public sale under Chapter 770 ILCS 45/1 et seq. and 90/1 et seq.

Upon expiration of the allotted rental agreement timeframe without service payment, the owner of a self-service storage facility must hand deliver or send by certified mail an itemized statement of the facility owner's demand for payment to the vehicle owner(s), storage facility occupant(s), and lienholder(s).

If charges are not paid before the 15th day after the first newspaper publication, the owner of the self-service storage facility may dispose of the vehicle at public sale under Chapter 770 ILCS 95/1 et seq.

The mechanic's lien process MAY NOT begin until 60 days have lapsed without service payment for liens of $2,000 or less, or until 30 days have lapsed without service payment for liens of more than $2,000. (checked November 1, 2026)

A $5 title search fee is required for each vehicle. The form also requires the appropriate title fee ($165 for Certificate of Title, $20 for Salvage Certificate or $0 for Junking Certificate) and the appropriate sales tax form and sales tax payment payable to Illinois Department of Revenue. (checked November 1, 2026)