The Missouri 1062 form is an affidavit used to apply for a mechanic lien title for various vehicles, including motor vehicles, trailers, and manufactured homes. This form certifies that the vehicle owner has defaulted on payment for repairs or storage, allowing the mechanic or garage to claim a lien on the property. If you need to fill out this form, please click the button below for assistance.
The Missouri 1062 form, officially known as the Affidavit for Mechanic Lien, serves a crucial role in the process of securing a mechanic lien title for various types of vehicles and vessels, including motor vehicles, trailers, all-terrain vehicles, manufactured homes, and outboard motors. When a vehicle owner defaults on payment for repairs or storage, this form allows the service provider to claim a legal right to the property until the debt is settled. Essential information must be included in the form, such as details about the vehicle, the owner, and any lienholders. The applicant must certify that the vehicle is in their possession and that they have notified the owner and lienholder of the outstanding debt via certified mail. This notification must occur at least 30 days prior to filing the form, ensuring that the owner has had sufficient time to address the payment issue. Additionally, the form requires a notarized affidavit confirming that the owner has not made satisfactory arrangements for payment and that the debt is at least 45 days overdue. Along with the completed form, the applicant must submit supporting documents, including a signed work order or storage agreement and a check for the applicable titling fees. Understanding the requirements and process outlined in the Missouri 1062 form is essential for anyone looking to navigate the complexities of mechanic lien titles effectively.
Form
Missouri Department of Revenue
1062
Affidavit for Mechanic Lien Title
Owner Information
All Lienholders Information
I certify that the motor vehicle, trailer, all-terrain vehicle, manufactured home, vessel, or outboard motor listed below is in my possession and that the owner of said unit has defaulted in payment. The total amount of repair and storage that is noted below has not been paid as evidenced by the attached work order or storage bill. The owner and lienholder listed below were notified of this debt by certified mail on the date noted. Copies of the notification letter(s) and the certified mail card(s) have been submitted with this affidavit. Neither the owner nor the lienholder has paid, or made satisfactory arrangements for payment of, storage or service towing charges within 30 days since notification of my intent to title the unit. See requirements on reverse.
Year
Make
Vehicle or Manufacturer’s Identification Number
Amount of Repair or Storage
__ __ __ __
$
Titled Owner’s Name
Number of Months Payment Overdue (minimum of 45 days)
Owner’s Address
City
State
Zip Code
Name of Vehicle Owner’s Lienholder
Street Address
Name of Mechanic or Garage
Date Owner Notified by Certified Mail (MM/DD/YYYY)
Signature of Applicant
__ __ /__ __/__ __ __ __
Notary Information
Embosser or black ink rubber stamp seal.
Subscribed and sworn before me, this
day of
year
County (or City of St. Louis)
My Commission Expires
Notary Public Signature
Notary Public Name (Typed or Printed)
Have you included: r Completed application
rCompleted affidavit
rSigned work order, storage agreement, or tow agreement
rSigned certified mail notification or unclaimed returned envelope
rTitling fees and processing fees
Form-1062 (Revised 06-2013)
Mechanic Lien Titles
In order to apply for a mechanic lien title for a motor vehicle, trailer, all-terrain, manufactured home, vessel or outboard motor, you must submit the following:
1.A completed and signed application for Missouri Title and License, DOR-108 (for motor vehicles, trailers, all-terrain vehicles and manufactured homes), or a completed and signed Application for Missouri Boat, Vessel, or Outboard Motor Title and Registration, DOR-93 (for vessels or outboard motors). For type of title, record “mechanic lien.”
2.The original or a copy of the written request for labor, services, skill, materials or storage costs signed by the owner, his agent, or at the written request of a peace officer in lieu of the owner or owner’s agent, where such owner or agent is not available to request storage, with the maximum amount to be charged as stated.
3.A notarized affidavit from the holder of the property certifying that the owner has defaulted on payment of labor, services, skill, or materials and that payment is 45 days past due, or that the owner has defaulted on payment, or has failed to make satisfactory arrangements for continued storage of the chattel for 30 days since notification by mail of intent to title.
4.A statement showing the outstanding balance for all labor, services, skills, materials or storage costs accumulated up to the date of application for title.
5.A check for $12.50 made payable to the Missouri Department of Revenue. The Missouri Department of Revenue may electronically resubmit checks returned for insufficient or uncollected funds.
Note: All requests for mechanic lien titles will be held for the 30 day notification period as required by law.
Mail to: Motor Vehicle Bureau
Phone: (573) 526-3669
Visit dor.mo.gov
P.O. Box 2076
Fax: (573) 751-5209
for additional information.
Jefferson City, MO 65105-2076
E-mail: mvbmail@dor.mo.gov
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