DO NOT COMPLETE UNLESS LT-260 "UNCLAIMED REPORT" HAS BEEN FILED
Date

Description of Vehicle
Make
Year
Body Style

License Plate Number
Serial Number/VIN
State Last Registered

Year Last Registered
Location of Vehicle
Place Stored
Address
City
State

Zip
Description of Lien
Lien for: (check appropriate space or spaces and specify amount)
Labor
Materials
Towing
Storage
Other
If "Other", please describe amount and type of charges:
Furnish general listing of materials
Date of Storage

Name and address of person authorizing repairs, services, towing, and/or storage
Name
Physical Address
Mailing Address (if different)
City
State
Zip
Name and address of lienor (Person or Firm proposing to sell vehicle)
Name
Address
Phone
City
State
Zip
Official Position
LIENOR: Make check or money order for thirteen dollars ($13.00) payable to the NC DMV and reference this vehicle's VIN. Mail to:
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.
I certify that the above information is true and correct.
Validating Fields
Submitting Form
Was this page helpful?