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. Vessel trailers and stand alone trailers are considered vehicles.
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.
Signature
Printed/Typed
Self-Storage Lien Order Form
DBA/Company
Contact Name
Address
City, State, Zip
Phone
Cell
Fax
Email
ASAP Account #
Address
City, State, Zip
7. Payment Type
1. General Information
NOTE: For Vessels, we can use either the hull # or CF #, both is better.
Contract Storage Rate
Thank You Very Much for the order!! The ASAP Team
Click here to Submit This Order and Start a New Order.
Note: To claim a lien for storage past the first 15 days, you must have started your lien sale whithin 15 days of the last billing. Storage fee can begin again when the lien sale has started.
(For Storage Facility Business Customers Only, i.e. Public Storage). Complete all fields in section 1 and 2, and check the boxes below, then sign and date the form. If we have questions, we will contact you.
<---If you have an ASAP account number, enter only the account number and proceed to section 2.
True Full Name
First
Middle
Last
True Full Names Are Required On All Lien Documents. As shown on your CDL
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
Date Person Was Last Billed
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. Name Of The Person On Contract Or Person Billed
$
<---Original Contract date
<---For A vehicle, must be within the last 30 Days. For a vessel, must be within the last 60 days.
Rental Agreement #
Note: Value of the vehicle/vessel. Self-Storage Facilities must run all liens as over $4000.00 for vehicles and over $1500.00 for vessels.
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".
By clicking the "Submit" button below, you confirm that you have read and agree to the terms and conditions as set forth above.
To Fax, Print (Ctrl+P) This Page And Fax To 510-799-1456
This Form Is Best Viewed Using Google Chrome at 90% Zoom (ctrl + or -).
Be Sure To Print A Copy For Your Records!!
8.
State
State
I will call in for payment arrangements after I submit this order.
Please open an account with the information I have provided. We Will call You For Credit Card Information.
Print (ctrl+p) and Fax To 510-799-1456 or use Submit button below
PLEASE USE CAPS
Are You A NorCal Auction Customer
Please charge to my ASAP account.
