Get KY TC 96-187 2012

TC 96 187 April 2012 Kentucky Transportation Cabinet Division of Motor Vehicle Licensing TITLE LIEN STATEMENT ORIGINAL FILING CONTINUATION TERMINATION Original File Original File Date 1. Debtor s Last Name First and Address 2. Secured Party and Address For Filing Officer Date Time Number and Filing Officer 4. Vehicle information YEAR MODEL MAKE VEHICLE IDENTIFICATION NUMBER ADDITIONAL DESCRIPTION NOTE 1 This is a multi-purpose form that can only be used once. A new form must be completed by the Secured Party upon termination of the lien* Further this form can only be used for one piece of property. Signature of the secured party is only required for continuation or termination filling. 2 In compliance with KRS 186A. 190 2 the notation of security interests relating to property required to be titled in Kentucky through the county clerk shall be done in the office of the county clerk of the county in which the debtor resides. Authentication of Debtor s Only for continuation or termination filing Date Optional for County clerk use Date Processed Fees Collected Clerks initials. Debtor s Last Name First and Address 2. Secured Party and Address For Filing Officer Date Time Number and Filing Officer 4. Vehicle information YEAR MODEL MAKE VEHICLE IDENTIFICATION NUMBER ADDITIONAL DESCRIPTION NOTE 1 This is a multi-purpose form that can only be used once. Vehicle information YEAR MODEL MAKE VEHICLE IDENTIFICATION NUMBER ADDITIONAL DESCRIPTION NOTE 1 This is a multi-purpose form that can only be used once. A new form must be completed by the Secured Party upon termination of the lien* Further this form can only be used for one piece of property. A new form must be completed by the Secured Party upon termination of the lien* Further this form can only be used for one piece of property. Signature of the secured party is only required for continuation or termination filling. 2 In compliance with KRS 186A. Signature of the secured party is only required for continuation or termination filling. 2 In compliance with KRS 186A. 190 2 the notation of security interests relating to property required to be titled in Kentucky through the county clerk shall be done in the office of the county clerk of the county in which the debtor resides. 190 2 the notation of security interests relating to property required to be titled in Kentucky through the county clerk shall be done in the office of the county clerk of the county in which the debtor resides. Authentication of Debtor s Only for continuation or termination filing Date Optional for County clerk use Date Processed Fees Collected Clerks initials. Debtor s Last Name First and Address 2. Secured Party and Address For Filing Officer Date Time Number and Filing Officer 4. Vehicle information YEAR MODEL MAKE VEHICLE IDENTIFICATION NUMBER ADDITIONAL DESCRIPTION NOTE 1 This is a multi-purpose form that can only be used once. A new form must be completed by the Secured Party upon termination of the lien* Further this form can only be used for one piece of property. .