Dmv Vsa 41 Form PDF Details

If you're looking to apply for a driver's license in the state of Virginia, you'll need to know about the DMV VSA 41 form. This is the form that you need to fill out in order to apply for your license, and it's important that you complete it correctly. In this post, we'll go over what information you need to provide on the form and how to submit it. We'll also tell you what steps you need to take after submitting your application.

This knowledge will aid you to understand better the details of the dmv vsa 41 form before starting filling it out.

QuestionAnswer
Form NameDmv Vsa 41 Form
Form Length4 pages
Fillable?Yes
Fillable fields1
Avg. time to fill out1 min 12 sec
Other namesvirginia storage lien, dmv mechanics lien, vsa 41 form, the dmv 41

Form Preview Example

MECHANICS OR STORAGE LIEN

APPLICATION

VSA 41 (07/25/2017)

PURPOSE: Use this application to request a mechanic's or storage lien, as provided in Va Code §§46.2-644.01, 46.2-644.02 and 46.2-644.03.

INSTRUCTIONS: Complete this application using the requirements provided on page 2 of this form.

VEHICLE INFORMATION

YEAR

MAKE

 

MODEL

BODY TYPE

COLOR

 

 

 

 

 

 

LICENSE PLATE NUMBER

STATE

VEHICLE IDENTIFICATION NUMBER

 

 

 

 

 

 

 

PURPOSE OF REQUEST

Check applicable box and attach a copy of the invoice (both checkboxes may apply, see pg. 2)

Was this vehicle towed at the direction of law enforcement?

 

 

 

 

 

 

 

 

 

 

 

 

 

I have a Storage Lien under Va Code § 46.2-644.01 in the amount of

 

$

 

 

 

YES

NO

 

 

 

 

 

 

 

 

 

If yes, enter date towed (mm/dd/yyyy):

 

I have a Mechanic's Lien under Va Code § 46.2-644.02 in the amount of

$

 

 

 

DATE YOU TOOK POSSESSION OF VEHICLE (mm/dd/yyyy):

Total

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MECHANIC OR STORAGE FACILITY RECORDING LIEN

NAME OF COMPANY HOLDING VEHICLE

 

COMPANY TELEPHONE NUMBER

 

 

 

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

STREET ADDRESS

 

CITY

 

STATE

 

ZIP CODE

 

 

 

 

 

 

 

 

 

 

FEIN OR SOCIAL SECURITY NUMBER

(Required by the State Comptroller for

USE AGREEMENT NUMBER (if applicable)

ACCESS CODE (if applicable)

 

 

debt off-set purposes per Va Code

 

 

 

 

 

 

 

§§2.2-803, 2.2-4807, et.al)

 

 

 

 

 

 

 

 

 

 

 

STREET ADDRESS WHERE VEHICLE IS HELD (if different from above)

CITY

STATE

ZIP CODE

TELEPHONE NUMBER

 

 

 

 

 

 

 

(

)

 

 

 

 

 

 

 

 

 

VEHICLE RECORD REQUEST

This is to request that DMV furnish information from its files on the above-described vehicle in accordance with Va. Code §§46.2-644.01, 46.2-644.02 and 46.2-644.03. I understand that it is unlawful to use information provided by DMV for any purpose other than the one stated. I certify that the information I have requested with this form will be used only for the stated purpose.

I further certify and affirm that all information presented in this form is true and correct, that any documents I have presented to DMV are genuine, and that the information included in all supporting documentation is true and correct. I make this certification and affirmation under penalty of perjury and I understand that knowingly making a false statement or representation on this form is a criminal violation.

AUTHORIZED MECHANIC OR STORAGE LIENHOLDER NAME (print)

SIGNATURE

DATE(mm/dd/yyyy)

TITLING SERVICE INFORMATION

Complete the information below only if a titling service is submitting this request on behalf of the lienholder.

TITLING SERVICE NAME

 

 

 

TELEPHONE NUMBER

 

 

 

 

(

)

 

 

 

 

 

 

 

 

STREET ADDRESS

 

CITY

 

STATE

 

ZIP CODE

 

 

 

 

 

 

FEIN OR SOCIAL SECURITY NUMBER

(Required by the State Comptroller for

USE AGREEMENT NUMBER (if applicable)

ACCESS CODE (if applicable)

 

debt off-set purposes per Va Code

 

 

 

 

 

§§2.2-803, 2.2-4807, et.al)

 

 

 

 

 

 

 

 

 

 

 

AUTHORIZED TITLE SERVICE REPRESENTATIVE NAME (print)

SIGNATURE

DATE(mm/dd/yyyy)

 

 

 

 

 

 

 

 

 

 

DMV USE ONLY

 

 

 

DMV recognized the NADA Official Used Car Guide trade in value: $

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NADA Trade in Value: (Check applicable box.)

 

 

 

$3,000 or less and $3,001 to $12,500

 

 

 

 

 

 

 

 

 

 

$12,501 to $25,000 (Must petition General District Court)

 

$25,001 or more (Must petition the Circuit Court)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle Value was determined by:

 

 

 

 

 

 

 

 

 

 

 

 

MSL Transcript (attached)

 

 

 

 

 

NADA Online Trade-In Value Web Page (printout attached)

 

 

 

 

 

 

 

 

 

 

 

 

Independent Appraisal - NADA Trade-in Value is $3000 or less; No record of owner or lienholder on DMV record; Vehicle is 6 years or older

 

 

 

 

 

Vehicles that meet any of the following criteria must be processed by DMV Headquarters Titling Work Center

 

 

 

 

• Have no NADA value or transcript

• NADA trade value is $25,001 or more

• Vehicle age is 5 years or newer

Note: The NADA trade-in value is used to determine the Mechanics and Storage Lien Applicant Requirements as outlined on page 2.

VSA 41 (07/25/2017)

Page 2

DEFINITIONS

For the purposes of a mechanic's and/or storage lien, the following definitions apply:

Trade in Value -- The vehicle value as determined by the NADA OFFICIAL USED CAR GUIDE.

Public Place -- A premises or agency open to the public and owned by the Commonwealth of Virginia, or a political subdivision thereof, or an agency of either, that is open to the general public Virginia county, city, or any other Virginia political subdivision, where postings are permitted.

Independent Appraiser -- Someone who provides the MSL applicant with an estimated trade-in value appraisal and does not gain income or have personal or business related interest in the ownership or sale of the vehicle.

MECHANIC OR STORAGE LIEN APPLICANT REQUIREMENTS

Note: If the MSL transcript indicates the vehicle owner is active duty military, a court order from a court in the MSL applicant's jurisdiction, regardless of the value of the vehicle, must be submitted with application at the time of titling. A copy of original repair bill/invoice is required when applying for an MSL transcript.

 

NADA Trade-In Value

 

Instructions

 

 

 

 

 

$12,500 or less

•

Apply for MSL vehicle transcript at a Customer Service Center or via Extranet (for users with Use Agreement), and

 

 

•

Notify all vehicle owner(s) and lienholder(s) by certified or registered mail (return receipt requested) of the intent to sell the

 

 

 

vehicle at least 10 days prior to the auction, and

 

 

 

◦ If the owner of the property is a nonresident or owner’s address is unknown (no record found), a notice is required to

 

 

 

be served by posting a copy in three of any of the following places in any combination: (i) post notice in one or more

 

 

 

public places in the county or city where the property is located; (ii) one or more websites operated by the

 

 

 

Commonwealth, the county or city where the property is located, or a political subdivision of either; or (iii) one or more

 

 

 

newspapers of general circulation in the county or city where the property is located, either in print or on their websites.

 

 

•

MSL applicant must hold the vehicle in their possession for a minimum of 30 days, and

 

 

•

Advertise the date, time and place of auction along with the terms of the auction in at least one public place at least 10 days prior

 

 

 

to the auction date, and

 

 

•

Once sold, provide purchaser documentary evidence of compliance with all MSL requirements for titling, as listed on VSA 41.

 

Exception

•

Apply for MSL vehicle transcript at a Customer Service Center or via Extranet (for users with Use Agreement).

 

$3,000 or less and ALL of

• Show proof of vehicle was in MSL applicant possession a minimum of 30 days

 

the following applies:

•

Submit application and required documents for title or nonrepairable certificate or sell vehicle

• NADA Trade-In Value is

IMPORTANT: If an owner or lienholder exists on the vehicle record, this exception does NOT apply. Owner and/or lienholder must

 

$3,000 or less

•

No record of owner or

be notified and auction held according to MSL guidelines.

 

 

 

lienholder exists on DMV's

 

 

 

record

 

 

•

Vehicle is 6 years or older

 

 

 

than current model year

 

 

•

Vehicle held in applicant's

 

 

 

custody for 30 or more

 

 

 

days

 

 

 

$12,501 To $25,000

•

Apply for MSL vehicle transcript at a Customer Service Center or via Extranet (for users with Use Agreement).

 

 

•

Notify all vehicle owner(s) and lienholder(s) by certified or registered mail (return receipt requested) of the intent to sell the

 

 

 

vehicle at least 10 days prior to the auction.

 

 

 

◦ If the owner of the property is a nonresident or owner’s address is unknown (no record found), a notice is required to

 

 

 

be served by posting a copy in three of any of the following places in any combination: (i) post notice in one or more

 

 

 

public places in the county or city where the property is located; (ii) one or more websites operated by the

 

 

 

Commonwealth, the county or city where the property is located, or a political subdivision of either; or (iii) one or more

 

 

 

newspapers of general circulation in the county or city where the property is located, either in print or on their websites.

 

 

•

Hold the vehicle in MSL applicant possession a minimum of 30 days.

 

 

•

Advertise the date, time and place of auction along with the terms of the auction in at least one public place at least 10 days prior

 

 

 

to the auction date.

 

 

•

Petition the General District Court in the city or county where the vehicle is located to order the vehicle sale, and

 

 

•

Be granted the petition by the court, and

 

 

•

Hold auction through the sheriff of the jurisdiction once the sale is ordered, and

 

 

•

Request sheriff complete an affidavit of compliance (3rd page of the VSA 41) acknowledging vehicle was auctioned/sold in

 

 

 

compliance with the court order.

 

 

 

 

 

Exceeds $25,000

•

Apply for MSL vehicle transcript at a Customer Service Center or via Extranet (for users with Use Agreement).

 

 

•

Notify all vehicle owner(s) and lienholder(s) by certified or registered mail (return receipt requested) of the intent to sell the

 

 

 

vehicle at least 10 days prior to the auction.

 

 

 

◦ If the owner of the property is a nonresident or owner’s address is unknown (no record found), a notice is required to

 

 

 

be served by posting a copy in three of any of the following places in any combination: (i) post notice in one or more

 

 

 

public places in the county or city where the property is located; (ii) one or more websites operated by the

 

 

 

Commonwealth, the county or city where the property is located, or a political subdivision of either; or (iii) one or more

 

 

 

newspapers of general circulation in the county or city where the property is located, either in print or on their websites.

 

 

•

Hold the vehicle in MSL applicant possession a minimum of 30 days.

 

 

•

Advertise the date, time and place of auction along with the terms of the auction in at least one public place at least 10 days prior

 

 

 

to the auction date.

 

 

•

Petition the Circuit Court in the city or county where the vehicle is located, to order the sale of the vehicle, and be granted the

 

 

 

petition by the court and

 

 

•

Hold auction through the sheriff of the jurisdiction once the sale is ordered, and

 

 

•

Request the sheriff to complete an affidavit of compliance (3rd page of VSA 41) acknowledging the vehicle was auctioned/sold in

 

 

 

compliance with court order.

 

 

 

 

MECHANICS OR STORAGE LIEN

APPLICATION

VSA 41 (07/25/2017) Page 3

AFFIDAVIT OF COMPLIANCE WITH VA CODE §§ 46.2-644.01 THROUGH 46.2-644.03 AND 8.01-419.1

PURPOSE: This affidavit must be completed by the mechanic or storage lienholder and must be submitted by the purchaser with the required documents, fees and taxes.

INSTRUCTIONS: Print or type. Follow the instructions on page 2.

PURCHASER INFORMATION

PURCHASER NAME

VEHICLE SALE DATE (mm/dd/yyyy)

VEHICLE SALE PRICE

$

VEHICLE YEAR

VEHICLE MAKE

VEHICLE IDENTIFICATION NUMBER (VIN)

VEHICLE QUALIFICATION

Check this box if the vehicle qualifies to be titled under Va Code §46.2-644.03.

Check this box if the vehicle qualifies for a non-repairable certificate under Va Code §46.2-644.03.

COMPLIANCE INFORMATION

As the Mechanic or Storage Lienholder, I have: (Check all applicable boxes)

applied to DMV for vehicle owner and lienholder information as a result of a Mechanic's or Storage Lien that occurred in Virginia. held the vehicle in MSL applicant possession for a minimum of 30 days.

made notice of intent to sell the vehicle under the procedure prescribed by Va Code §§ 46.2-644.01 through 46.2-644.03.

arranged for the vehicle to be sold under the procedure prescribed by Va Code §§ 46.2-644.01 through 46.2-644.03.

CERTIFICATION / AFFIDAVIT

(Must be signed and dated by the mechanic or storage lienholder in the presence of a notary public.)

I certify that I have complied with the requirements of Va Code §§ 46.2-644.01 through 46.2-644.03 and 8.01-419.1.

I further certify and affirm that all information presented in this form is true and correct; that any documents I have presented to DMV are genuine, and that the information included in all supporting documentation is true and correct. I make this certification and affirmation under penalty of perjury and I understand that knowingly making a false statement or representation on this form is a criminal violation.

MECHANIC OR STORAGE LIENHOLDER NAME (print)

MECHANIC OR STORAGE LIENHOLDER SIGNATURE

DATE (mm/dd/yyyy)

NOTARIZATION (must be completed by notary public)

State/Commonwealth of ______________________, city or county of _____________________________

subscribed and sworn to before me on this ____________ day of ________________________________

(MONTH)(YEAR)

by___________________________________________________ in the city or county and state aforesaid.

REGISTRATION NUMBER

MY COMMISSION EXPIRES (mm/dd/yyyy)

NOTARY PUBLIC NAME

NOTARY PUBLIC SIGNATURE

NOTARY PUBLIC SEAL

SHERIFF'S AFFIDAVIT

This vehicle was sold in our locality by a public auction in compliance with a court order (court order attached)

JURISDICTION

DATE OF SALE (mm/dd/yyyy)

BADGE NUMBER

SHERIFF NAME (print)

SHERIFF SIGNATURE

MECHANICS OR STORAGE LIEN APPLICATION

VSA 41 (07/25/2017)

Page 4

VEHICLE DISPOSITION

Check the applicable box to indicate what you plan to do with the vehicle

 

Sell Vehicle

Purchase/Title vehicle in my name

Vehicle is non-repairable

All applicants must present a completed VSA 17A or VSA 57, VSA 41, the DMV Record Search Results and all required documentation according to the vehicle's value. Check documents presented:

Completed VSA 17A

 

Completed VSA 57

 

Completed VSA 41

 

DMV Record Search Results

 

 

 

 

 

DMV USE ONLY - DOCUMENTS REQUIRED TO TITLE

Section

NADA Trade-In Value

Documents Required to Title

1

$12,500 or less

 

 

 

MSL Transcript issued by DMV

 

 

 

(Vehicle is 6 model years or

 

 

 

NADA Trade-In Value screen print if found online at NADA website

 

 

 

 

 

older than the current

 

 

 

 

 

 

 

 

 

model year)

 

 

 

VSA 41, VSA 17A or VSA 17B with fees, or VSA 57 (no fee)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Bill of sale from mechanic/storage lienholder holding auction (when purchased by 3rd party) and SUT 1A for vehicles 5

 

 

 

 

 

 

 

 

 

years old or less

 

 

 

 

 

 

 

 

 

Copy of posted public auction notice and location of the auction

 

 

 

 

 

 

 

 

 

Copy of newspaper and/or web posting (if applicable)

 

 

 

 

 

 

 

 

 

Copy of original repair bill/invoice or storage bill/invoice

 

 

 

 

 

 

 

 

 

Proof MSL applicant held vehicle in continuous custody for at least 30 days

 

 

 

 

 

 

 

 

 

Copy of actual letter sent, and certified/registered mail return receipt (if delivered), or certified/registered letter

 

 

 

 

 

 

Section 1 Exception

 

 

 

(unopened) with return receipt attached (not delivered)

 

 

 

 

 

 

 

 

 

 

$3,000 or less

 

 

 

MSL Transcript showing "No Record Found" issued by DMV

 

 

 

 

 

No Vehicle Record Found

 

 

 

VSA 41

 

 

 

 

 

 

 

 

 

VSA 17A or VSA 17B with fee, or VSA 57 (no fee required)

 

 

 

 

 

 

 

 

 

 

Bill of sale from mechanic/storage lienholder holding auction (when purchased by 3rd party) and SUT 1A for vehicles 5

 

 

 

 

 

 

 

 

 

 

years old or less

 

 

 

 

 

 

 

 

 

 

Proof MSL applicant held vehicle in continuous custody for at least 30 days

 

 

 

 

 

 

 

 

 

 

 

2

$12,501 To $25,000

 

 

 

MSL Transcript issued by DMV

 

 

 

 

(Vehicle is 6 model years

 

 

 

NADA Trade-In Value screen print if found online at NADA website

 

 

 

 

 

or older than the current

 

 

 

 

 

 

 

 

 

model year)

 

 

 

VSA 41, VSA 17A or VSA 17B with fees, or VSA 57 (no fee)

 

 

 

 

 

 

 

 

 

Bill of sale from mechanic/storage lienholder holding auction (when purchased by 3rd party) and SUT 1A for vehicles 5

 

 

 

 

 

 

 

 

 

 

years old or less

 

 

 

 

 

 

 

 

 

 

Copy of posted public auction notice and location of the auction

 

 

 

 

 

 

 

 

 

 

Copy of newspaper and/or web posting (if applicable)

 

 

 

 

 

 

 

 

 

 

Copy of original repair bill/invoice or storage bill/invoice

 

 

 

 

 

 

 

 

 

 

Proof MSL applicant held vehicle in continuous custody for at least 30 days

 

 

 

 

 

 

 

 

 

 

Copy of actual letter sent, and certified/registered mail return receipt (if delivered), or certified/registered letter

 

 

 

 

 

 

 

 

 

 

(unopened) with return receipt attached (not delivered)

 

 

 

 

 

 

 

 

 

 

The court order granted by General District Court

 

 

 

 

 

 

 

 

 

 

Affidavit from sheriff stating that the vehicle was sold in compliance with the courts order (VSA 41, page 3)

 

 

 

 

 

 

 

 

 

 

 

3

Exceeds $25,000

 

 

 

MSL Transcript

 

 

 

 

(regardless of model year)

 

 

 

NADA Trade-In Value screen print if found online at NADA website

 

 

 

 

 

 

 

 

 

VSA 41, VSA 17A or VSA 17B with fees OR VSA 57 (no fee required)

 

 

 

 

 

 

 

 

 

 

Bill of sale from mechanic or storage lienholder who held auction (when purchased by 3rd party) and SUT 1A for

 

 

 

 

 

 

 

 

 

 

vehicles 5 years old or less

 

 

 

 

 

 

 

 

 

 

Copy of posted public auction notice and location of the auction

 

 

 

 

 

 

 

 

 

 

Copy of newspaper and/or web posting (if applicable)

 

 

 

 

 

 

 

 

 

 

Copy of original repair bill/invoice or storage bill/invoice

 

 

 

 

 

 

 

 

 

 

Proof of vehicle was in his/her continuous custody for at least 30 days.

 

 

 

 

 

 

 

 

 

 

Copy of actual letter sent, and certified/registered mail return receipt (if delivered), or certified/registered letter

 

 

 

 

 

 

 

 

 

 

(unopened) with return receipt attached (not delivered)

 

 

 

 

 

 

 

 

 

 

The court order granted by Circuit Court

 

 

 

 

 

 

 

 

 

 

Affidavit from sheriff stating that the vehicle was sold in compliance with the courts order (VSA 41, page 3)

 

 

 

 

 

 

 

 

 

 

 

4

No NADA Trade-In

 

 

 

Mail MSL title or nonrepairable application and all documents to support the vehicle’s value directly to the Titling Work

 

 

 

Value Found By DMV

 

 

 

Center, or drop at a CSC to be scanned to Titling Work Center.

 

 

 

 

How to Edit Dmv Vsa 41 Form Online for Free

Our PDF editor enables you to create documents. You should not perform much to modify vsa stating online files. Only adhere to the following steps.

Step 1: To begin with, select the orange "Get form now" button.

Step 2: After you have accessed the vsa 41 pdf editing page you can discover each of the options you may conduct with regards to your document within the top menu.

These particular segments will create the PDF form that you will be completing:

part 1 to completing virginia storage lien

Write down the information in the DATE, mm, dd, yyyy SIGNATURE, STREET, ADDRESS CITY, FEIN, OR, SOCIAL, SECURITY, NUMBER TELEPHONE, NUMBER STATE, ZIP, CODE USE, AGREEMENT, NUMBER, if, applicable ACCESS, CODE, if, applicable SIGNATURE, D, MV, USE, ONLY DATE, mm, dd, yyyy NADA, Trade, in, Value, Check, applicable, box and to, Must, petition, General, District, Court field.

part 2 to finishing virginia storage lien

Emphasize the most significant details of the PURCHASER, NAME VEHICLE, SALE, PRICE PURCHASER, INFORMATION VEHICLE, SALE, DATE, mm, dd, yyyy VEHICLE, YEAR VEHICLE, MAKE VEHICLE, IDENTIFICATION, NUMBER, V, IN VEHICLE, QUALIFICATION COMPLIANCE, INFORMATION CERTIFICATION, AFFIDAVIT and DATE, mm, dd, yyyy field.

part 3 to filling out virginia storage lien

It's essential to describe the rights and responsibilities of both sides in space DATE, OF, SALEm, md, d, yyyy BADGE, NUMBER SHERIFF, NAME, print and SHERIFF, SIGNATURE

part 4 to completing virginia storage lien

Fill out the template by reviewing the following sections: Sell, Vehicle Purchase, Title, vehicle, in, my, name Vehicle, is, non, repairable Completed, VS, A, A Completed, VS, A Completed, VS, A D, MV, Record, Search, Results D, MV, USE, ONLY, DOCUMENTS, REQUIRED, TO, TITLE or, less Vehicle, is, model, years, or older, than, the, current model, year Section, Exception or, less and No, Vehicle, Record, Found

virginia storage lien SellVehicle, PurchaseTitlevehicleinmyname, Vehicleisnonrepairable, CompletedVSAA, CompletedVSA, CompletedVSA, DMVRecordSearchResults, DMVUSEONLYDOCUMENTSREQUIREDTOTITLE, orless, Vehicleismodelyearsor, olderthanthecurrent, modelyear, SectionException, orless, and NoVehicleRecordFound blanks to fill

Step 3: Hit the button "Done". The PDF file can be transferred. It's possible to save it to your laptop or email it.

Step 4: Make at least several copies of the form to stay away from any specific forthcoming issues.

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