Form 4809 PDF Details

Type all applications; if not typed, attach copy of title.

Lien: liens must be filed and/or received within 30 days of the loan date (perfected) for the lienholder to be protected from the debtor filing for bankruptcy relief.

Second lien: complete the FIRST and SECOND LIENHOLDER INFORMATION sections, if applicable.

Lien release: the notary information is required to be completed to release the lien.

Receipt: the lienholder will receive a receipt as proof the lien has been perfected.

Where to send: submit the completed Notice of Lien (Form 4809) to your local license office or by mail to the Motor Vehicle Bureau.

QuestionAnswer
Form NameForm 4809
Form Length2 pages
Fillable?Yes
Fillable fields54
Avg. time to fill out9 min
Edition08-2025
Issuing agencyMissouri Department of Revenue
Where to sendYour local license office, or by mail to the Motor Vehicle Bureau
Matches the agency's fileYes, checked October 2, 2026
Other names4809, Form 4809, MO 4809, Missouri Form 4809, Missouri lien release form, Missouri notice of lien
Official sourceForm 4809 (Rev 08-2025), Missouri Department of Revenue

How to Fill Out Form 4809

Form 4809 at a glance

What it is: Form 4809 is the Missouri Department of Revenue Notice of Lien, Lien Release, or Authorization to Add/Remove Name from Title.

Notary: Notice of Lien: no notary required. Lienholder Authorization for Owners to Add/Remove Name for Title: no notary required. Lien Release: notary required.

What to bring and attach to Form 4809

Type all applications. If not typed, attach copy of title.

The original document must be submitted. It is recommended that you retain a copy for your records.

A filled-in Form 4809 example: a Notice of Lien for a car loan

Form 4809 example filled out, example: a Notice of Lien for a car loan
Example Credit Union files a Notice of Lien on Form 4809. The owner, Jane Ann Sample, bought the car on 09/15/2026 and the lien began the same day. The picture shows the filled form, and its names and figures are sample values. The example answers Yes to Is this a change of ownership? because the owner just bought the car. The loan is not subject to future advances, so that box stays empty. It is a first lien only, so the second lienholder, add or remove name from title and lien release blocks and the For DOR Use Only boxes stay empty.

How to fill out Form 4809, box by box

Notice of Lien (no notary required): owner information

Form 4809 example filled out, notice of Lien (no notary required): owner information

For a Notice of Lien, complete all applicable blocks for Owner Information and Unit Description.

Mark the Notice of Lien (no notary required) box.

Under Is this a change of ownership?, mark Yes or No.

Enter the owner's name (last, first, middle) as shown on title application; only the first 50 characters will print on title.

Enter the owner's street address, county, city, state, and zip code, and DLN or FEIN.

Description, year, make, VIN/HIN number, purchase date and net price

Form 4809 example filled out, description, year, make, VIN/HIN number, purchase date and net price

Under Description, mark the box for Passenger, Truck, ATV, Trailer, Manufactured Home, RV, Bus, Boat/Vessel, Outboard Motor (excluding trolling motor), Motorcycle, Tricycle, or Autocycle.

Enter the Year, Make, and VIN/HIN Number, then the Purchase Date, Previous Title Number, and Net Price (after trade-in).

First lienholder information

Form 4809 example filled out, first lienholder information

For a first lien, complete the First Lienholder Information section, if applicable.

Enter the lienholder's name as shown on title application, FDIC or lienholder ID number, street address, city, state, and zip code, lien date, and loan or unit number. Subject to Future Advances? has one box, Yes.

Second lienholder information and first lienholder authorization

Form 4809 example filled out, second lienholder information and first lienholder authorization

For a second lien, complete the First and Second Lienholder Information sections, if applicable.

The First Lienholder Authorization block must be signed by the first lienholder when adding a second lien.

In the second lienholder section, enter the lienholder's name as shown on title application, FDIC or lienholder ID number, street address, city, state, and zip code, lien date, and loan or unit number.

Add/remove name from title (no notary required)

Form 4809 example filled out, add/remove name from title (no notary required)

Mark the box for Lienholder Authorization for Owners to Add/Remove Name for Title (no notary required), then mark Add or Remove.

Enter the owner's name (last, first, middle) as shown on title application and print the name being added or removed.

Enter the street address, city, state, and zip code; the county and title number; and the year, make, and VIN/HIN number. Enter the printed name of the lienholder's agent and the signature of the lienholder's agent.

Lien release (notary required)

Form 4809 example filled out, lien release (notary required)

The notary information is required to be completed to release the lien.

Mark the box for Lien Release, attach to title (notary required).

For a lien release, complete all applicable blocks of the Owner Information and Unit Description sections, and leave the First and Second Lienholder sections blank.

In the Lien Release section, enter the lienholder's name as shown on title, the date of release, the printed name of the lienholder's agent, and the signature of the lienholder's agent.

Enter the State, County (or City of St. Louis), Lien Creation Date, and Release Date.

The notary's boxes are the Notary Public Embosser or Black Rubber Stamp Seal; Subscribed and Sworn Before Me, This Day Of; My Commission Expires; the Notary Public Signature; and the Notary Public Name (typed or printed).

License Office notary service: $2.00 (checked October 19, 2026).

Submitting a Notice of Lien

You submit a Notice of Lien

Submit the completed Notice of Lien (Form 4809) to your local license office or by mail to Motor Vehicle Bureau, 301 West High Street, PO Box 3355, Jefferson City MO 65105-3355.

Liens must be filed and/or received with the Missouri Department of Revenue within 30 days of the loan date (perfected) for the lienholder to be protected from the debtor filing for bankruptcy relief.

A $9.00 processing fee must be submitted with each Notice of Lien (checked October 19, 2026).

Checks may be accepted as payment. Make checks payable to: Missouri Department of Revenue.

The check must be pre-printed with the check writer's name, address, bank code, and account number. It must also include the check writer's driver license or non-driver license number, date of birth, and daytime phone number.

Other restrictions may apply. The Missouri Department of Revenue may electronically resubmit checks returned for insufficient or uncollected funds.

Common questions about Form 4809

What is form 4809 in Missouri?

Form 4809 is the Missouri Department of Revenue Notice of Lien, Lien Release, or Authorization to Add/Remove Name from Title. The lienholder will receive a receipt as proof the lien has been perfected.

Is there a penalty?

Fraudulent lien release: any person who knowingly and intentionally submits a separate document releasing a lien of another without the authority to do so shall be guilty of a Class D felony (301.640, RSMo).

Sources

[1] Form 4809 (08-2025), Notice of Lien, Lien Release, or Authorization to Add/Remove Name from Title, Missouri Department of Revenue (the Official source link on this page).

Please rate Missouri Lien Form Revised 08-2025

1 Votes
If you believe this page is infringing on your copyright, please familiarize yourself with and follow our DMCA notice and takedown process - click here to proceed .