LIEN SALE UNIT

CERTIFICATION OF LIEN SALE P.O. BOX 932317

SACRAMENTO, CA 94232-3170
A Public Service Agency
FOR VEHICLE VALUED $4000 OR LESS
CIVIL CODE §3072

NOTE TO THE LIENHOLDER:

When a vehicle is sold at auction, immediately complete this form and give to the buyer. Retain a copy to submit to DMV with any excess fees. If the vehicle is not sold because a
qualifying bid was not received, the lienholder becomes the buyer indicated on the Certification of Sale section. When the vehicle is sold in the future, complete a bill of sale and give
both forms to the buyer. All registration fees and penalties become due and payable on the lien sale date. Following the sale of a vehicle, remove and destroy the vehicle’s license
plate(s), and within 5 days of sale, submit a completed Notice of Release of Liability (NRL) form to DMV.
LICENSE NUMBER STATE REGISTERED LICENSE EXPIRATION DATE VEHICLE IDENTIFICATION NUMBER (VIN)

VEHICLE
DESCRIPTION MAKE YEAR MODEL BODY TYPE ENGINE NUMBER (MOTORCYCLE ONLY)

DATE VEHICLE CAME INTO MY POSSESSION DATE OWNER BILLED FOR SERVICES/STORAGE DATE WORK OR SERVICES COMPLETED IF AUTHORIZED BY A PUBLIC AGENCY, OR PURSUANT TO
CVC §22658, DATE VEHICLE WAS TOWED

In accordance with Civil Code §3072, my authority to conduct this lien sale is:
……After the Notices of Pending Sale were mailed to DMV , the registered/legal owners at their addresses of record with DMV, and any other person
AUTHORITY known to have an interest in the vehicle, the sale was conducted not less than 31 days or more than 41 days. I have not received notice from DMV
TO CONDUCT prohibiting this lien sale.
LIEN SALE ……A certified copy of the court judgment to proceed with the sale.
……A release of interest from the opposer(s) after opposition filed.
……Authorization from DMV after proof of unsuccessful service.
……There is no record on file and no known interested parties. A total of 31-41 days have elapsed before the sale was conducted.
Note: Vehicle record from DMV and/or a certified copy of the court judgement or release of interest (as appropriate) must be attached.

NOTICE OF ……In accordance with Civil Code §3072, Notices of Pending Sale with accompanying Declarations of Opposition were mailed to the registered and
legal owners of record, interested parties, and DMV, 31 to 41 days prior to the lien sale.
PENDING SALE
Note: Postal receipts or postal listing sheet must be attached.
The above described vehicle was BUYER’S TRUE FULL NAME

sold on:
CERTIFICATE ADDRESS

OF SALE
MONTH DAY YEAR CITY STATE ZIP CODE

NOTE TO LIENHOLDER: If vehicle retained by lienholder, complete number 2 only.

1. The vehicle was sold for: $
2. The billing and costs were:
A. TOWING $
B. STORAGE $
ACCOUNTING OF
THE LIEN SALE C. REPAIRS $
AND PROCEEDS D. COST OF SELLING (CANNOT EXCEED $70) $
TOTAL OF 2 (ADD A THROUGH D) $
3. PARKING VIOLATIONS $
4. EXCESS FEES* (LINE 1 MINUS TOTAL OF 2 AND 3) $
*EXCESS FEES MUST BE SUBMITTED TO DMV WITH A COMPLETED COPY OF THIS FORM WITHIN 15 DAYS OF THE SALE DATE.
LIENHOLDER’S NAME (PRINT) TELEPHONE NUMBER

( )
STREET ADDRESS CITY STATE ZIP CODE

AGENT ACTING FOR LIENHOLDER (PRINT NAME) REGISTRATION SERVICE NUMBER TELEPHONE NUMBER

( )
CERTIFICATION STREET ADDRESS CITY STATE ZIP CODE

I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct. I further
certify (or declare) under penalty of perjury that the lien sale was conducted in accordance with the requirements of California Military
and Veterans Code §§407, 408, 409.1, and 409.3, and with the requirements of §§3952, 3953, and 3958 of Title 50 of the United States Code.
DATE LIENHOLDER’S OR AGENT’S (ACTING FOR LIENHOLDER) SIGNATURE

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