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Fill in a Valid Missouri Lien Template

The Missouri Lien form is an official document used to establish a legal claim against a vehicle or other property. This form is essential for lienholders to protect their interests and ensure that their rights are recognized. If you need to fill out the Missouri Lien form, click the button below to get started.

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Article Guide

The Missouri Lien form, officially known as Form 4809, serves several important purposes related to vehicle ownership and financing. This form is used to file a notice of lien, release a lien, or authorize the addition or removal of names from a vehicle title. It is crucial for lienholders to perfect their liens within 30 days of the loan date to protect their interests, especially in cases where a debtor might file for bankruptcy. The form requires specific information, including the owner's name, vehicle details, and lienholder information. Notably, the first lienholder must authorize any second lien by signing the appropriate section. A processing fee of $6.00 must accompany each submission, and the original document must be submitted to the Missouri Department of Revenue. Additionally, any lien release must include notarization to be valid. This form is essential for ensuring proper documentation and protection of financial interests in vehicle transactions.

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MISSOURI DEPARTMENT OF REVENUE
MOTOR VEHICLE BUREAU	573-526-3669
PO BOX 3355, JEFFERSON CITY MO 65105-3355	www.dor.mo.gov/mvdl

NOTICE OF LIEN, LIEN RELEASE, OR AUTHORIZATION TO ADD/REMOVE NAME FROM TITLE

	FOR DOR USE ONLY	REJECT NUMBER
Form
4809
4809	TYPE ALL APPLICATIONS. IF NOT
(Revised 08-2019)	TYPED, ATTACH COPY OF TITLE.

FOR DOR USE ONLY

NOTICE OF LIEN (NO NOTARY REQUIRED)

IS THIS A CHANGE OF OWNERSHIP?

YES NO

OWNER INFORMATION

OWNER’S NAME (LAST, FIRST, MIDDLE) AS SHOWN ON TITLE APPLICATION (ONLY FIRST 50 CHARACTERS WILL PRINT ON TITLE)

STREET ADDRESS

COUNTY

CITY, STATE, AND ZIP CODE

DLN OR FEIN

UNIT DESCRIPTION

PASSENGER

TRUCK

ATV

TRAILER

MANUFACTURED HOME

BUS

BOAT/VESSEL

OUTBOARD MOTOR (EXCLUDING TROLLING MOTOR)

MOTORCYCLE

TRICYCLE

AUTOCYCLE

YEAR

MAKE

VIN/HIN NUMBER

__ __ __ __

PURCHASE DATE

PREVIOUS TITLE NUMBER

NET PRICE (AFTER TRADE-IN)

__ __ /__ __ /__ __ __ __

LIENHOLDERFIRST INFORMATION

LIENHOLDER’S NAME AS SHOWN ON TITLE APPLICATION

FDIC OR LIENHOLDER ID NUMBER

STREET ADDRESS

CITY, STATE, AND ZIP CODE

LIEN DATE

SUBJECT TO FUTURE ADVANCES?

LOAN OR UNIT NUMBER

__ __ /__ __ /__ __ __ __

YES

FIRST LIENHOLDER AUTHORIZES A SECOND LIEN BY SIGNING BELOW

LIENHOLDERSECOND INFORMATION

__ __ /__ __ /__ __ __ __

FDIC OR LIENHOLDER ID NUMBER

LIENHOLDER’S NAME AS SHOWN ON TITLE APPLICATION

STREET ADDRESS

CITY, STATE, AND ZIP CODE

LIEN DATE

LOAN OR UNIT NUMBER

LIENHOLDER AUTHORIZATION FOR OWNERS TO ADD/REMOVE NAME FOR TITLE. (NO NOTARY REQUIRED)

ADD/REMOVE TITLEFROMNAME

OWNER’S NAME (LAST, FIRST, MIDDLE) AS SHOWN ON TITLE APPLICATION

PRINT NAME BEING ADDED OR REMOVED

ADD REMOVE

STREET ADDRESS

CITY, STATE, AND ZIP CODE

COUNTY

TITLE NUMBER

PRINTED NAME OF LIENHOLDER’S AGENT

SIGNATURE OF LIENHOLDER’S AGENT

YEAR

MAKE

VIN/HIN NUMBER

__ __ __ __

LIEN RELEASE—ATTACH TO TITLE

ANY PERSON WHO KNOWINGLY AND INTENTIONALLY SUBMITS A SEPARATE DOCUMENT

RELEASING A LIEN OF ANOTHER WITHOUT THE AUTHORITY

TO DO SO SHALL BE GUILTY OF

(NOTARY REQUIRED)

A CLASS D FELONY. (301.640 RSMo)

RELEASE/NOTARY INFORMATION

LIENHOLDER’S NAME AS SHOWN ON TITLE

PRINTED NAME OF LIENHOLDER’S AGENT

SIGNATURE OF LIENHOLDER’S AGENT

NOTARY PUBLIC EMBOSSER OR BLACK

STATE

COUNTY (OR CITY OF ST. LOUIS)

LIEN CREATION DATE

RELEASE DATE

RUBBER STAMP SEAL

__ __ /__ __ /__ __ __ __

SUBSCRIBED AND SWORN BEFORE ME, THIS

MY COMMISSION EXPIRES

DAY OF

LIEN

NOTARY PUBLIC SIGNATURE

NOTARY PUBLIC NAME (TYPED OR PRINTED)

A $6.00 processing fee must be submitted with each Notice of Lien.

THE ORIGINAL DOCUMENT MUST BE SUBMITTED. It is recommended that you retain a copy for your records.

Form 4809 (Revised 08-2019)

NOTICE OF LIEN

PLEASE PERFECT YOUR LIEN IMMEDIATELY!

IMPORTANT: Liens must be filed and/or received with the Department within 30 days of the loan date (perfected) for the lienholder to be protected from the debtor filing for bankruptcy relief.

A $6.00 processing fee must be submitted with each Notice of Lien.

OWNER INFORMATION AND UNIT DESCRIPTION — Complete all applicable blocks.

FIRST LIEN — Complete the FIRST LIENHOLDER INFORMATION section, if applicable.

SECOND LIEN — Complete the FIRST and SECOND LIENHOLDER INFORMATION sections, if applicable.

First Lienholder Authorization — This block must be signed by the first lienholder when adding a second lien.

Checks may be accepted as payment. Make checks payable to: Missouri Department of Revenue. The check must be pre-printed with the check writer’s name, address, bank code, and account number. It must also include the following information regarding the check writer:

1.Driver license or non-driver license number;

2.Date of birth; and

3.Daytime phone number.

Other restrictions may apply. NOTE: The Missouri Department of Revenue may electronically resubmit checks returned for insufficient or uncollected funds.

The lienholder will receive a receipt as proof the lien has been perfected.

Submit the completed Notice of Lien (Form 4809) to your local license office or by mail to the following address:

MOTOR VEHICLE BUREAU

301 WEST HIGH STREET

PO BOX 3355

JEFFERSON CITY MO 65105-3355

LIEN RELEASE

OWNER INFORMATION AND UNIT DESCRIPTION SECTIONS — Complete all applicable blocks.

FIRST AND SECOND LIENHOLDER SECTIONS — Leave blank.

LIEN RELEASE SECTION — Enter the lienholder’s name as shown on title, the date of release, printed name of the lienholder’s agent, and signature of lienholder’s agent.

NOTARIZATION — The notary information is required to be completed to release the lien.

NOTE: License Office notary service - $2.00

FRAUDULENT LIEN RELEASE — ANY PERSON WHO KNOWINGLY AND INTENTIONALLY SUBMITS A SEPARATE DOCUMENT RELEASING A LIEN OF ANOTHER WITHOUT THE AUTHORITY TO DO SO SHALL BE GUILTY OF A CLASS D FELONY. (301.640, RSMo)

Form 4809 (08-2019)

Free PDF

Common PDF Templates

Mo 149 - The certificate allows items to be less burdensome for businesses with valid exemptions.

Missouri Cd 147 - Providers may need to clarify any discrepancies directly with the unit if required.

Missouri Quarterly Contribution and Wage Report - Employers should verify all figures for correctness before submitting the report.

Dos and Don'ts

When filling out the Missouri Lien form, it is crucial to follow specific guidelines to ensure your submission is processed smoothly. Here are nine important dos and don'ts to consider:

Do type all applications. If you cannot type, attach a copy of the title.
Don't leave any applicable blocks blank. Complete all sections related to owner information and unit description.
Do ensure that the lienholder’s name matches exactly as it appears on the title application.
Don't forget to include a $6.00 processing fee with each Notice of Lien submission.
Do sign the First Lienholder Authorization if you are adding a second lien.
Don't submit the form without retaining a copy for your records.
Do submit the completed form within 30 days of the loan date to protect your lien from bankruptcy filings.
Don't use a check that is not pre-printed with your name, address, bank code, and account number.
Do have notarization completed if you are submitting a lien release.

Key takeaways

Filling out the Missouri Lien form correctly is crucial for ensuring that your lien is properly recorded and enforceable. Here are some key takeaways to keep in mind:

Ensure all sections are completed accurately. This includes owner information, unit description, and lienholder details.
The form must be submitted within 30 days of the loan date to protect your lien from bankruptcy claims.
A processing fee of $6.00 is required with each Notice of Lien submission, and checks must include specific personal information.
Retain a copy of the submitted form for your records, as it serves as proof that the lien has been perfected.

Misconceptions

Understanding the Missouri Lien form is crucial for anyone involved in vehicle financing or ownership. However, several misconceptions can lead to confusion. Here are nine common misconceptions:

Notarization is always required. Many believe that notarization is mandatory for all lien documents. In fact, notarization is only required for lien releases, not for filing a lien.
Filing a lien is optional. Some think that filing a lien is optional for lienholders. However, it is essential to file a lien to protect your interest, especially within 30 days of the loan date.
Only banks can file liens. There is a belief that only banks or financial institutions can file liens. In reality, any lienholder can file a lien, provided they meet the necessary requirements.
All information on the form is optional. Some individuals assume that they can skip sections of the form. Completing all applicable sections is necessary for the form to be valid.
Filing a lien guarantees ownership. A common misconception is that filing a lien automatically grants ownership of the vehicle. A lien secures the loan, but it does not transfer ownership until the loan is paid off.
The processing fee is negotiable. Some believe they can negotiate the $6.00 processing fee. This fee is set by the Missouri Department of Revenue and is non-negotiable.
Liens can be filed after 30 days. Many think they can file a lien at any time. However, to be protected from bankruptcy filings, liens must be filed within 30 days of the loan date.
Only the first lienholder can authorize a second lien. There is a misconception that only the first lienholder can add a second lien. The first lienholder must sign the form to authorize this, but it is not solely their decision.
Retaining a copy of the lien form is unnecessary. Some individuals believe that keeping a copy of the lien form is not important. In fact, it is advisable to retain a copy for your records as proof of the lien.

By understanding these misconceptions, you can navigate the Missouri Lien form more effectively and ensure that your interests are protected.

Similar forms

The Missouri Lien form shares similarities with several other legal documents related to liens and property ownership. Below are four documents that are comparable to the Missouri Lien form, along with explanations of their similarities:

UCC-1 Financing Statement: This document is filed to give notice of a security interest in personal property. Like the Missouri Lien form, the UCC-1 serves to establish the lienholder's rights and protect their interest in the collateral against third parties.
Notice of Lien (General): A general notice of lien can be filed to inform the public that a lien exists against a property. Similar to the Missouri Lien form, this document is intended to provide formal notification to interested parties regarding the lienholder's claim.
Mortgage Document: A mortgage is a specific type of lien on real property. Just as the Missouri Lien form establishes a lien on a vehicle, a mortgage secures a loan against real estate, ensuring the lender's interest is protected until the debt is paid.
Release of Lien Form: This document is used to officially remove a lien once the debt has been satisfied. Like the lien release section of the Missouri Lien form, this document confirms that the lienholder no longer has a claim against the property, effectively clearing the title.