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HTML Preview Official Lien Release Form page number 1.
1
STATE OF ARKANSAS
OFFICIAL RELEASE OF LIEN
OR
PERMISSION TO ISSUE A REPLACEMENT TITLE
PLEASE TYPE OR PRINT
To Whom It Ma
y Concern:
This is to certify that the lien held by
Of
(Name of Lien Holder)
On one
(Address of Lien Holder)
Year
Make
Model
Body Style
VIN (Vehicle Identification Number)
Dated
in the amount of
O
w
n
e
d
b
y
is:
(Owner’s Name)
Satisfied and hereby released as of
date.
Not satisfied. Permission is granted to
issue a replacement title in the name of:
(Signature of Lien Holder)
10-315
Rev.
12/06
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