Form Bdvr 35 PDF Details

The Bdvr 35 form plays a crucial role in the mechanics of vehicle repairs and storage within the garage industry, serving as a formal request for the application of a Garage Keeper’s Lien. This application is essential for garage keepers who wish to secure payment for repairs and storage services provided. The form requires detailed information about the garage keeper's business, including its name, address, and repair facility number, in addition to specifics about the vehicle such as license plate number, year, make, and Vehicle Identification Number (VIN). It is also necessary to disclose information about the vehicle owner who authorized the repairs, including their name and address. The form outlines the completion date of repairs, the total amount due for these repairs, storage charges, and the length of storage time, culminating in a comprehensive account statement. By requiring a signature to certify the truth and accuracy of the information provided, the form adheres to the Garage Keeper’s Lien Act, the Motor Vehicle Service and Repair Act, and complies with state and federal privacy laws concerning the disclosure of vehicle ownership details. It highlights the legal implications for misuse of the information obtained, emphasizing the seriousness of committing to such an application. Moreover, the form mentions the process for submission, including the nominal application fee, and the specific mailing instructions to the Michigan Department of State, indicating a structured legal pathway for garage keepers to secure their financial interests under Michigan law.

QuestionAnswer
Form NameForm Bdvr 35
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesBDVR35_17639_7 printable business forms for garage keepers

Form Preview Example

 

 

GARAGE KEEPER’S LIEN APPLICATION

 

 

 

 

 

 

 

 

 

 

 

Garage Keeper Business Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

Zip

 

 

 

 

 

 

MI

 

 

 

 

 

 

 

 

 

 

 

 

Repair Facility Number

 

 

Is Vehicle Still in Your Possession? (Check One)

 

 

 

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

License Plate Number

Vehicle Year

 

Make

 

 

 

Vehicle Identification Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Vehicle Owner who Authorized Repairs

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

State

 

Zip

 

 

 

 

 

 

 

 

 

 

 

 

 

Date Repairs Completed

Total Amount of Repairs

Date Storage Charges Began

 

Total # Days Stored

Total Amount of Storage

 

$

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

I certify the information and statements on this request are true and correct and comply with the Garage Keeper’s Lien Act (Public Act 312 of 1915, as amended), the Motor Vehicle Service and Repair Act (Public Act 300 of 1974), and state and federal driver privacy protection laws. Information from Secretary of State records concerning vehicle ownership is requested for the sole purpose of pursuing legal remedies or recovering a debt from an individual or business. I understand the disclosure of information obtained from Secretary of State records for a purpose other than stated on this request, or the sale or other distribution of information to a person or organization not disclosed in this request may result in penalties imposed under MCL 257.903 and other provisions of law.

Signature

Date

Warning: Under Michigan Law, a person who makes a false representation or false certification to obtain personal information or who uses personal information for a purpose other than identified above is guilty of a felony, which may be punishable by imprisonment of up to 15 years, a fine of up to $15,000, or both.

Note: To qualify for a GKL, the vehicle must be titled in Michigan.

Mail:

•Completed application;

•Itemized account statement showing the name of the person authorizing repairs and/or storage;

•$10 application fee – Make check or money order payable to “State of Michigan”.

To:

Michigan Department of State Out of State Resident Services 7064 Crowner Drive Lansing, MI 48918

(517) 322-1473

BDVR-35 (07/01)

Authority Granted Under Public Act 312 of 1915, as Amended

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