HSMV 82497 Form PDF Details

When vehicle, mobile home, or vessel owners in Florida find themselves navigating the aftermath of towing and storage, they may encounter the HSMV 82497 form, a crucial document issued by the State of Florida Department of Highway Safety and Motor Vehicles (DHSMV). This form serves a dual purpose, facilitating both the placement and discharge of a wrecker operator's lien against a motor vehicle, mobile home, or vessel. It meticulously outlines the process for wrecker services to legally claim compensation for the towing, recovery, or storage of vehicles, as per the guidelines established under section 713.78 of the Florida Statutes. In scenarios where a vehicle, for instance, is towed following instructions from a law enforcement agency, the form requires detailed information about the vehicle and the towing service, including the company’s name, the vehicle's description, and the lien amount, which is strictly limited to covering a maximum of seven days of services. Additionally, a certificate of destruction must be issued in the towing company's name before adding a wrecker operator’s lien. On the other side, this form also outlines the steps for releasing such a lien, specifying that the lien can be discharged once the amount has been satisfactorily settled, thereby removing any restrictions on the owner's ability to receive a license plate or revalidation sticker. This comprehensive document underscores the legal framework designed to ensure that all parties' rights and responsibilities are clearly defined, balanced between the service providers' right to compensation and the vehicle owners' protections under the law.

QuestionAnswer
Form NameHSMV 82497 Form
Form Length1 pages
Fillable?Yes
Fillable fields14
Avg. time to fill out3 min 7 sec
Other nameswrecker operator lien, wrecker lien, form 82497 florida, 82497 pdf form

Form Preview Example

STATE OF FLORIDA

DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES

DIVISION OF MOTOR VEHICLES

Neil Kirkman Building - Tallahassee, FL 32399-0610

NOTICE OR DISCHARGE OF WRECKER OPERATOR'S LIEN

FOR A MOTOR VEHICLE, MOBILE HOME OR VESSEL

SECTIONS 1 AND 2 SHOULD BE COMPLETED IF ADDING A WRECKER OPERATOR'S LIEN.

SECTIONS 1 AND 3 SHOULD BE COMPLETED IF DISCHARGING/RELEASING A WRECKER OPERATOR'S LIEN.

MOTOR VEHICLE MOBILE HOME VESSEL

1

MOTOR VEHICLE, MOBILE HOME OR VESSEL DESCRIPTION

CERTIFICATE OF TITLE NUMBER

IDENTIFICATION NUMBER

YEAR

MAKE/MANUFACTURER

TYPE

MODEL

COLOR

VEHICLE LICENSE PLATE/VESSEL REG. NUMBER (YR. & STATE OF ISSUE)

MOBILE HOME/LICENSE PLATE DECAL NUMBER (YR. & STATE OF ISSUE)

2NOTICE OF WRECKER OPERATOR'S LIEN

My company towed the above described vehicle/mobile home/vessel on _________________________, in

compliance

(Month, Day & Year)

with s. 713.78, Florida Statutes, for recovery, towing or storage of a vehicle, mobile home or vessel, upon instructions from a law enforcement agency (excluding code enforcement), for which a certificate of destruction has been issued under subsection (11).

Name of Towing

 

Company Placing Lien ______________________________________________

_______________________

(Name must match the name on the Certificate of Destruction)

(Towing company's FEID #)

Address _______________________________________________________________________________________

(Mailing address)(City)(State)(Zip)

Telephone Number for Towing Company (_______)_____________________________________________________

OWNER(S) (prior to the certificate of destruction issued to the towing company) To Whom The Notice of Lien was sent, pursuant to s. 713.78, Florida Statutes:

______________________________________________________________________________________________

(Owner's name)(Owner's driver's license number, if known)

Address _______________________________________________________________________________________

(Mailing address)(City)(State)(Zip)

______________________________________________________________________________________________

(Co-Owner's name, if applicable)(Co-Owner's driver's license number, if known)

Address _______________________________________________________________________________________

(Mailing address)(City)(State)(Zip)

Entity that Requested the Tow______________________________________________________________________

(Name of the Law Enforcement Agency)

Lien Amount $______________________ May NOT exceed the amount of the charges for recovery, towing and

storage of the vehicle, vessel or mobile home for 7 days.

UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE.

Signed: _______________________________________________________________________________________

(Signature of Authorized Agent for the Towing Company)

NOTE: A Certificate of Destruction MUST be issued in the towing company's name, prior to adding a Wrecker Operator's Lien.

HSMV 82497 (Rev. 02/05) S

3

DISCHARGE/RELEASE OF WRECKER OPERATOR'S LIEN

Date of Discharge/Release of Lien _____________________________

Name of Owner(s) To Whom The Wrecker Operator's Lien was previously filed against:

______________________________________________________________________________________________

(Owner)(Owner's driver's license number, if known)

______________________________________________________________________________________________

(Co-Owner, if applicable)

(Co-Owner's driver's license number, if known)

My company previously filed a Notice of Wrecker Operator's Lien against the above named owner(s). The owner's name(s) was placed on a list of persons who may not be issued a license plate or revalidation sticker for any motor vehicle under s. 320.03(8), Florida Statutes. The amount of the wrecker operator's lien, as allowed by s. 713.78(13)(b), Florida Statutes, HAS been satisfied for the above owner(s) and is therefore discharged.

Name of Towing Company

Discharging/Releasing Lien _______________________________________________________________________

Address _______________________________________________________________________________________

(Mailing address)(City)(State)(Zip)

Telephone Number for Towing Company (_______)_____________________________________________________

UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE.

Signed: ______________________________________________________________________________________

(Signature of Authorized Agent for the Towing Company)

HSMV 82497 (Rev. 02/05) S REV. 10.07 BCTC_SK

How to Edit HSMV 82497 Form Online for Free

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This document will need some specific details; to guarantee accuracy, be sure to consider the next tips:

1. While submitting the form 82497 florida, be sure to incorporate all of the needed blanks in their associated section. It will help to facilitate the work, allowing for your details to be handled fast and properly.

Step # 1 for submitting 82497

2. Right after this part is done, proceed to type in the suitable details in these: My company towed the above, Mailing address, State, City, Zip, Owners name, Mailing address, OWNERS prior to the certificate of, CoOwners drivers license number if, Name of the Law Enforcement Agency, Owners drivers license number if, CoOwners name if applicable, Mailing address, State, and State.

Filling in part 2 of 82497

It's simple to make a mistake when completing the Mailing address, for that reason make sure you go through it again prior to when you finalize the form.

3. This next segment is considered quite simple, Lien Amount May NOT exceed the, and Signature of Authorized Agent for - every one of these blanks will need to be completed here.

Lien Amount  May NOT exceed the, Lien Amount  May NOT exceed the, and Lien Amount  May NOT exceed the of 82497

4. The fourth section comes next with the next few fields to consider: Date of DischargeRelease of Lien, Name of Owners To Whom The Wrecker, Owners drivers license number if, Owner, CoOwners drivers license number if, CoOwner if applicable, My company previously filed a, owners names was placed on a list, for any motor vehicle under s, allowed by s b Florida Statutes, and discharged.

Owner, My company previously filed a, and CoOwners drivers license number if of 82497

5. When you approach the finalization of this form, there are actually a few extra things to complete. Notably, Name of Towing Company, Mailing address, State, City, Zip, Telephone Number for Towing, and Signature of Authorized Agent for must be done.

Name of Towing Company, State, and Zip in 82497

Step 3: Before moving forward, you should make sure that form fields were filled in the proper way. Once you are satisfied with it, click on “Done." Acquire your form 82497 florida after you subscribe to a 7-day free trial. Conveniently access the pdf file in your FormsPal account, together with any edits and changes conveniently synced! FormsPal provides secure document editing devoid of personal information recording or distributing. Feel at ease knowing that your details are safe with us!