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DHT # 142379
FOR RELEASE OF LIEN
I (we) hereby certify that the lien or encumbrance on
TEXAS CERTIFICATE OF TITLE/DOCUMENT NUMBER
YEAR MAKE TX LICENSE PLATE NUMBER
VEHICLE IDENTIFICATION NUMBER (VIN)
is/was hereby released on
. Full payment to satisfy the
lien has been received by the below mentioned party (parties).
(PRIINTED NAME OF LIENHOLDER)
(SIGNATURE OF LIENHOLDER OR AUTHORIZED AGENT)
(PRIINTED NAME OF AUTHORIZED AGENT)
Lienholder’s Telephone Number:
WARNING: TRANSPORTATION CODE §501.155 PROVIDES THAT FALSIFYING INFORMATION
ON ANY REQUIRED STATEMENT OR APPLICATION IS A THIRD-DEGREE FELONY.
NOTE TO APPLICANT: IF THIS FORM IS FILED IN CONJUNCTION WITH AN APPLICATION FOR A CERTIFIED
COPY OF A TEXAS CERTIFICATE OF TITLE FOR A MOTOR VEHICLE, VTR-34, A BUSINESS CARD OR LETTER OF
AUTHORIZATION FROM THE LIENHOLDER SIGNING AGENT IS REQUIRED.
TEXAS DEPARTMENT OF TRANSPORTATION
VEHICLE TITLES AND REGISTRATION DIVISION
AUSTIN, TX 78779-0001
(Attach this release of lien to the title application)
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