Independently Owned

Since 2010

Lien Submission Form

Use this form below so we can start your lien today! Once completed, one of our representatives will contact you. If you have already submitted a lien form and just need to make a payment to us, please visit our payment options.

Note: Yellow boxes indicate required fields and must be completed.

Your Information
Customer/Owner Information
Vehicle/Vessel Information
Is the Vehicle/Vessel in your possession?
Supplemental Information
Vehicle Value:
Vessel Value:
Other Information

Review & Finalize Your Submission

Before you submit this form, please take a moment and confirm information entered in the previous sections is correct and complete to the best of your knowledge. When you are satisfied with your info, read and acknowledge the following disclaimer before submission.

By submitting this form, I hereby certify under penalty of perjury that the information entered by me on this document is true and correct and I have no information or belief that there is a valid defense to the claims which give rise to the lien(s). I have verified the given vehicle for correct valuation, license plate, and vehicle identification numbers. Independent Lien Service will assume no responsibility for illegible or missing information. I appoint Independent Lien Service as Power of Attorney and authorize Independent Lien Service or its employees to sign on my behalf for the purpose of a lien sale on the given vehicle.


Thank you for choosing Independent Lien Service to assist in filing your lien!

Your lien is submitting, thank you for your patience!

We lien anything registered at the DMV