Location of Vehicle
All fields in this section are required.
Description of Lien
As provided by N.C.G.S. §44A-2. Please specify amount owed & describe the lien.
Name and address of person authorizing repairs, services, towing, and/or storage.
Lien Holder Information
Name and address of lienor (Person or Firm proposing to sell vehicle).
Make check or money order for thirteen dollars ($13.00) payable to the NC DMV and reference this vehicle's VIN.
- NC DMV License & Theft Bureau, Notice Storage & Theft Unit
- 3132 Mail Service Center
- Raleigh NC 27699-3132.
Send payment within 5 days of submitting this form. This form will be returned if payment is not received within the allotted time frame.
If additional information is needed, call (919) 861-3187.
For confirmation receipt.