Georgia T4 Form – Fill Out and Use This PDF

Updated: Oct 30, 2026

The Georgia T4 form, officially known as the Notice of Satisfaction of Security Interest or Lien Holder’s Affidavit, serves as a critical document for individuals or entities holding a security interest or lien on a motor vehicle in Georgia. It is required for formally acknowledging the satisfaction and release of a lien on a vehicle's title, under the directives of Article 3 of Chapter 3 in Title 40. For those navigating the process of clearing their vehicle's title, understanding the specifics of the T4 form is essential.

Ensure your vehicle title is clear and up-to-date by properly filling out the Georgia T4 form. Click the button below to start the process.

Get Form Now Download PDF

Georgia T4 Form PDF Details

In the realm of motor vehicle transactions in Georgia, the T4 form emerges as a crucial document for those dealing with the satisfaction of security interests or liens. When an individual has fulfilled their loan obligations for a motor vehicle, it becomes necessary to officially release the lien from the vehicle's title, affirming that the debt is fully paid. This process is facilitated through the Form T-4, officially known as the "Notice of Satisfaction of Security Interest or Lien Holder's Affidavit." Crafted under the guidelines stipulated in Article 3 of Chapter 3 in Title 40, this affidavit requires completion by the entity holding the initial security interest or lien on the described vehicle. Precision is paramount, as details must be typed or printed in legible black or blue ink or completed electronically, ensuring clarity and correctness. However, it's important to note the exclusion of this form's availability to participants in the Electronic Lien on Title (ELT) program for any security interests or liens recorded electronically, showcasing a blend of traditional and modern record-keeping methods. As applicants navigate through this procedure, they attest to their understanding of the Motor Vehicles Certificate of Title Act’s provisions, the State Revenue Commissioner's investigative authority, and the potential for application denial based on veracity and completeness. This affidavit not only signifies the end of a financial agreement but also facilitates the smooth transition of title free from encumbrances, underscoring the form's importance in the vehicle ownership ecosystem.

Question	Answer
Form Name	Georgia T4 Form
Form Length	1 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	15 sec
Other names	t4 lien release georgia, georgia lien release form t 4, t4 form ga, form t 4 georgia

How to Fill Out Form T-4

Form T-4 at a glance

What it is: Form T-4 is the Notice of Satisfaction of Security Interest or Lien Holder's Affidavit.

Who signs: Sign on the Sole Proprietor/Partner or Executive Officer Signature line and enter the Date.

A filled-in Form T-4 example: a lender's officer completes the affidavit

Form T-4 example filled out, example: a lender's officer completes the affidavit — Jane Sample, an executive officer of a lender, fills out Form T-4. Her lender holds a lien on one vehicle with one owner, and she ticks Yes. The picture shows page 1 only, and all its values are invented.

How to fill out Form T-4, box by box

Instructions, Legal Business Name and Business address

This Affidavit should be executed by the person who holds a security interest or lien on the motor vehicle described on this form, pursuant to Article 3 of Chapter 3 in Title 40. Except for signatures, type or print legibly in black or blue ink or complete electronically and print. Note: This form is not permitted for use by any participant in the Electronic Lien on Title (ELT) for any security interest or lien which has been recorded electronically.

Enter the Print Full Legal Name of Executive Officer or Full Legal Name and Driver's License Number of Sole Proprietor or Partner.

Enter the Legal Business Name of Security Interest or Lien Holder as listed on Certificate of Title. If Lien Holder is an individual, a copy of driver's license must accompany this form.

Enter the Business address, including city, state and zip code.

Owner(s) names, Residence address and the vehicle

Enter the Owner(s) names as it appears on Certificate of Title.

Enter the Residence address, including city, state and zip code.

Enter the Vehicle Year & Make, the Vehicle Identification Number and the Model & Body Style.

Enter the State of Title Records, the Title number and the Account number.

Yes and Notary Public

I understand that, pursuant to the Motor Vehicles Certificate of Title Act, the State Revenue Commissioner has the authority to investigate issues surrounding the titling and registration of motor vehicles and may refuse to issue a certificate of title if there are reasonable grounds to believe that the application contains a false statement or the applicant fails to furnish required information or documents or any additional information the commissioner reasonably requires. I understand that the Department may have information as to the vehicle's title history, the security interest holder's or the owner's address, or some other information that is relevant to the Act's requirements, which lien holder does not have. I understand that, based upon this information, the Department has the discretion to reject the application for title.

Mark Yes.

I am over the age of majority and give this affidavit on the basis of my personal knowledge of facts and circumstances surrounding the security interest or lien related to the motor vehicle listed.

Sign on the Sole Proprietor/Partner or Executive Officer Signature line and enter the Date.

The Notary Public enters Sworn to and subscribed before me this (Day) of (Month), (Year).

The Notary Public enters the Notary Public residence address including City, State and Zip Code and the Notary Public's Printed Name.

The Notary Public is to add the Notary Public's Signature & Notary Seal or Stamp, and enter the Date Notary Commission Expires and the Notary Public business phone number.

More rules for Form T-4

This form must be legibly completed and attached to the application for Certificate of Title.

Any alteration or correction voids this form.

All previous revisions of this form are obsolete.

Sources

[1] Form T-4 (Rev. 2-2015), Notice of Satisfaction of Security Interest or Lien Holder's Affidavit, Georgia Department of Revenue (the Official source link on this page).