ABANDONED VEHICLE LIEN FILING FORM

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

County *

Do you own this property? *

Yes

No

Phone Number *

Email Address * 🛈

Vehicle / Vessel Information

Year *

MAKE *

Model

VIN/HIN# * 🛈

Plate State 🛈

Tenant / Vehicle Owner Information

Please enter the name and address of the person that left the vehicle on your property. Such as the previous tenant OR owner of vehicle. If unknown then enter unknown.

First Name * 🛈

Last Name 🛈

Address: 🛈

City 🛈

State

Zip Code 🛈

You must have possession of the vehicle/vessel for this service

Date vehicle/vessel was left on your property? * +

Do you have a rental agreement or eviction notice with the person that left the vehicle on your property? * 🛈

Please select what applies to you *

Copies of rental agreement, eviction notice, receipts, etc 🛈

Comments: 🛈

0/500 characters

Authorization

By signing below for Verification purposes Pursuant to F.S 92.525 and 28 USC 1746, I declare that the facts stated above are true and correct. By submitting this form, I authorize Southern Title Liens to start a FL title search on the above referenced vehicle(s). * 🛈

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