Missouri Form 1062 PDF Details

In the state of Missouri, individuals and businesses involved in the repair, storage, or towing of vehicles, vessels, manufactured homes, trailers, or outboard motors have a legal mechanism to secure payment for their services through the Missouri Department of Revenue 1062 Affidavit for Mechanic Lien Title. This document plays a crucial role when a property owner defaults on the payment for services rendered. To initiate the mechanic lien process, the form requires comprehensive details such as owner and lienholder information, a detailed account of the services provided, the amount due, and evidence of a certified mail notification to the owner and lienholder regarding the payment default. The affidavit must be accompanied by a completed Missouri Title and License application, a notarized statement asserting the default, and proof of the notification sent to the owner and lienholder. Additionally, a statement disclosing the total outstanding balance for the services or storage provided up to the title application date is necessary. The application process also includes a modest fee, reinforcing the state's commitment to a structured and legal pathway for service providers to claim their dues. This ensures that mechanics and storage facility operators can assert their rights and seek compensation through a mechanic lien title, provided they adhere to the guidelines set forth by the Missouri Department of Revenue. The introduction of such legal documents underscores the importance of a clear and structured legal framework to address the issue of non-payment for services in Missouri, symbolizing a balance between protecting the rights of service providers and maintaining a fair legal process.

QuestionAnswer
Form NameMissouri Form 1062
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesAFFIX, TITLING, DOR-1062, lienholder

Form Preview Example

Form

Missouri Department of Revenue

1062

Affidavit for Mechanic Lien Title

Owner Information

All Lienholders Information

I certify that the motor vehicle, trailer, all-terrain vehicle, manufactured home, vessel, or outboard motor listed below is in my possession and that the owner of said unit has defaulted in payment. The total amount of repair and storage that is noted below has not been paid as evidenced by the attached work order or storage bill. The owner and lienholder listed below were notified of this debt by certified mail on the date noted. Copies of the notification letter(s) and the certified mail card(s) have been submitted with this affidavit. Neither the owner nor the lienholder has paid, or made satisfactory arrangements for payment of, storage or service towing charges within 30 days since notification of my intent to title the unit. See requirements on reverse.

 

Year

 

Make

Vehicle or Manufacturer’s Identification Number

 

 

 

 

 

 

 

 

 

 

 

 

Amount of Repair or Storage

 

__ __ __ __

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Titled Owner’s Name

 

 

 

 

 

 

 

 

 

 

 

 

 

Number of Months Payment Overdue (minimum of 45 days)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Owner’s Address

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

 

 

State

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Vehicle Owner’s Lienholder

Street Address

 

City

State

Zip Code

 

 

 

 

 

Name of Mechanic or Garage

 

 

 

 

 

 

 

 

 

Street Address

 

City

State

Zip Code

 

 

 

 

 

Date Owner Notified by Certified Mail (MM/DD/YYYY)

Signature of Applicant

 

 

__ __ /__ __/__ __ __ __

Notary Information

Embosser or black ink rubber stamp seal.

Subscribed and sworn before me, this

 

 

 

day of

year

 

 

 

 

 

 

State

 

County (or City of St. Louis)

My Commission Expires

 

 

 

 

 

 

Notary Public Signature

 

 

 

 

 

 

 

 

Notary Public Name (Typed or Printed)

 

 

 

 

 

 

Have you included: r Completed application

rCompleted affidavit

rSigned work order, storage agreement, or tow agreement

rSigned certified mail notification or unclaimed returned envelope

rTitling fees and processing fees

Form-1062 (Revised 06-2013)

Mechanic Lien Titles

In order to apply for a mechanic lien title for a motor vehicle, trailer, all-terrain, manufactured home, vessel or outboard motor, you must submit the following:

1.A completed and signed application for Missouri Title and License, DOR-108 (for motor vehicles, trailers, all-terrain vehicles and manufactured homes), or a completed and signed Application for Missouri Boat, Vessel, or Outboard Motor Title and Registration, DOR-93 (for vessels or outboard motors). For type of title, record “mechanic lien.”

2.The original or a copy of the written request for labor, services, skill, materials or storage costs signed by the owner, his agent, or at the written request of a peace officer in lieu of the owner or owner’s agent, where such owner or agent is not available to request storage, with the maximum amount to be charged as stated.

3.A notarized affidavit from the holder of the property certifying that the owner has defaulted on payment of labor, services, skill, or materials and that payment is 45 days past due, or that the owner has defaulted on payment, or has failed to make satisfactory arrangements for continued storage of the chattel for 30 days since notification by mail of intent to title.

4.A statement showing the outstanding balance for all labor, services, skills, materials or storage costs accumulated up to the date of application for title.

5.A check for $12.50 made payable to the Missouri Department of Revenue. The Missouri Department of Revenue may electronically resubmit checks returned for insufficient or uncollected funds.

Note: All requests for mechanic lien titles will be held for the 30 day notification period as required by law.

 

 

Form-1062 (Revised 06-2013)

Mail to: Motor Vehicle Bureau

Phone: (573) 526-3669

Visit dor.mo.gov

P.O. Box 2076

Fax: (573) 751-5209

for additional information.

Jefferson City, MO 65105-2076

E-mail: mvbmail@dor.mo.gov

 

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