GEORGIA PRESCRIBED FORM FOR RELEASE OF LIEN ON AUTOMOBILESGeorgia Lien Release Sample Car loan

I (We) hereby certify that the lien or encumbrance on

VIN#
Year/Make/Model

 

Is / was hereby released on                                                                       .

Full payment of _____________ was made on _________ and hereby fully satisfies the lien. These funds, in cash, have been received by the below mentioned party (parties).

 (PRINTED NAME OF LIENHOLDER)

 (SIGNATURE OF LIENHOLDER OR AUTHORIZED AGENT)

(PRINTED NAME OF AUTHORIZED AGENT)

Lienholder’s Telephone Number:

Date Signed:

WARNING:  GEORGIA LAW PROVIDES THAT FALSIFYING INFORMATION ON THIS FORM IS A THIRD – DEGREE FELONY.

Georgia Lien Release Sample Car loan Pdf

Georgia Lien Release Sample Car loan Editable Word Doc