CC Logo
7.
4. About The Lien
5. About The Vehicle, Motorcycle Or Trailer
Date
6. About The Boat / Vessel
NOTE:  If the vessel includes a trailer, enter the trailer information above. Stand alone trailers are considered vehicles.
Signature
Printed/Typed
Towing Long Liens Over $4000 - Over $1500
DBA/Company
Contact Name
Address
City, State, Zip
Phone
Cell
Fax
Email
BAR #
Bus Lic #
ASAP Account #
Address
City, State, Zip
2. Where Is It Stored
To Fax, Print (Ctl+P) This Page And Fax To  510-799-1456
1. General Information
If the vehicle/vessel is stored at a location different from the address above, please enter the location. If the same, enter "SAME".
NOTE: For Vessels, we can use either the hull # or CF #, both is better.
Posted Storage Rate
Thank You Very Much for the order!!      The ASAP Team
<---Click here to Submit This Order and/or Start a New Order.
Note: To claim a lien for storage past the first 15 days of possession, you must start your lien sale during the first 15 days of possession, or storage fees will stop. Storage fee can begin again when the lien sale has started.
True Full Name
First
Middle
Last
True Full Names Are Required On All Lien Documents. As shown on your CDL
Date Of Poss/Tow
X
I certify under penalty of perjury under the laws of the State of California, that the information I have provided is true and correct.
Lgth
Lic #
CF #
Hull #
Engine # (if motorcycle)
Vin #
Year
Make
Model
Year
Make/Manuf
Model
Is This A  Vehicle Or Vessel
Towing Charge
NOTE: For Motorcycles and ATVs, we must have both the Frame number and Engine number. We cannot process the lien without them Both
Name
Address
City, State, Zip
3. Property Owner Or Law Enforcement Agency Authorizing Removal Of The Vehicle/Vessel
$
$
By clicking the "Submit" button below or printing, and faxing or emailing, you confirm that you have read and agree to the terms and conditions set forth above.
ASAP Logo
This Form Is Best Viewed Using Google Chrome At 90% Zoom (ctrl + or -).
Be Sure To Print A Copy For Your Records!!
Is This A Police / Agency Towaway?
Fax To 510-799-1456
We Do Not Need A Copy Of The Agency 180 Form For Long Lien Vehicles Or Vessels.
PLEASE USE CAPS
<--If you have an ASAP account number, enter only the account number here, and proceed to section 2.
State
State
When you submit this form to ASAP Lien Sales, Signed Or Not, It Is A Binding Contract.  This form authorizes a lien to be processed by ASAP Lien Sales with the information you provide, and that you will hold ASAP Lien Sales harmless from any lawsuits, judgments, omissions or errors of any kind and under any circumstances. ASAP Lien Sales Is Providing A Secretarial Service To You And Will Be Liable For The Cost Of The Lien Sale Processing Only.
Over $4000 - Vehicle
Over $1500 - Vessel
Yes
No
Has No License Plates  
Vin Has Been Altered  
Eng # Has Been Altered  
Out Of State License  
The Hull # Been Altered  
Vessel Has No CF #  
Out Of State License  
I Accept
I Certify