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
Private Property Lien Order Form
DBA/Company
Contact Name
Address
City, State, Zip
Phone
Cell
Fax
Email
BAR # (if a repair shop)
Bus Lic # (if a business)
ASAP Account #
Address
City, State, Zip
2. Where Is It Stored. If the vehicle/vessel is stored at a location different from the address above, enter the location here. If same as above enter "Same" or "SAME AS ABOVE".
7. Payment Type
To Fax, Print (Ctrl+P) This Page And Fax To 510-799-1456
1. General Information
NOTE: For Vessels, we can use either the hull # or CF #, both is better.
Posted Storage Rate Per Day
Thank You Very Much for the order!! The ASAP Team
<---Click here to Submit This Order and/or Start A New Order.
Note: Note: To claim a lien for storage past the first 15 days, you must start your lien sale during the first 15 days of possession, Storage fee can begin again when the lien sale has started.
<---If you have an ASAP account number, enter only the account number and proceed to section 2.
Your Date Of Possession
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
Vehicle, Trailer, or Motorcycle/ATV Value
Boat / Vessel Value
NOTE: Motorcycles and ATVs, We Must have both the Frame number and engine number. "We Cannot Process The Lien Without Both".
Name
Address
City, State, Zip
3. Who Left The Vehicle/Boat In Your Possession.
If you know the name and address, enter it here. If unknown enter "UNKNOWN".
$
Print (ctrl+p) and Fax To 510-799-1456 or use Submit button below
By clicking the "Submit" button below, you confirm that you have read and agree to the terms and conditions as set forth above.
Date Last Bill Sent To Owner
(must be within last 30 days)
Be Sure To Print A Copy For Your Records!
True Full Name
First
Middle
Last
True Full Names Are Required On All Lien Documents. As shown on your CDL
This Form Is Best Viewed Using Google Chrome
at 90% Zoom (ctrl + or -).
8.
State
State
I will call in for payment arrangements after I submit this order.
PLEASE USE CAPS
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.
