Jayalakshmi - Brickwork Ratings

PRESCRIBED FORM
FOR RELEASE OF LIEN
Form VTR-266
(Rev. 01/11)
Page 1 of 1
I (we) hereby certify that the lien or encumbrance on
TEXAS CERTIFICATE OF TITLE/DOCUMENT NUMBER
YEAR
MAKE
TX LICENSE PLATE NUMBER
VEHICLE IDENTIFICATION NUMBER (VIN)
is/was hereby released on
. Full payment to satisfy the
(DATE)
lien has 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: TRANSPORTATION CODE §501.155 PROVIDES THAT FALSIFYING INFORMATION
ON ANY REQUIRED STATEMENT OR APPLICATION IS A THIRD-DEGREE FELONY.
NOTE TO APPLICANT: IF THIS FORM IS FILED IN CONJUNCTION WITH AN APPLICATION FOR A CERTIFIED
COPY OF A TEXAS CERTIFICATE OF TITLE FOR A MOTOR VEHICLE, VTR-34, A BUSINESS CARD OR LETTER OF
AUTHORIZATION FROM THE LIENHOLDER SIGNING AGENT IS REQUIRED.
TEXAS DEPARTMENT OF MOTOR VEHICLES
VEHICLE TITLES AND REGISTRATION DIVISION
AUSTIN, TX 78779-0001
(Attach this release of lien to the title application)
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