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DO NOT WRITE MARK OR STAMP ABOVE THIS LINE Print TENNESSEE DEPARTMENT OF REVENUE Reset NOTICE OF DISCHARGE OF LIEN DATE TITLE NO. TRANSACTION TYPE DATE VEHICLE PURCHASED VIN MAKE YEAR MODEL BODY TYPE MOBILE HOME LENGTH WIDTH LAST NAME FIRST NAME MIDDLE INITIAL CITY STATE ZIP CODE STREET ADDRESS NAME OF LIENHOLDER DATE OF DISCHARGE PRINTED NAME Representative of Lienholder SIGNATURE Representative of Lienholder NOTICE TO LIENHOLDER Submit this document or a copy of the front of the Certificate of Title reflecting the release of lien within 72 hours of discharge to the Taxpayer and Vehicle Services Division 44 Vantage Way Suite 160 Nashville Tn 37243-8050. Second deliver the Certificate of Title to the person entitled to it with your notation of discharge of Lien indicated* Failure to comply with the above constitutes a misdemeanor under the provisions of Section 55-3-127 T. TRANSACTION TYPE DATE VEHICLE PURCHASED VIN MAKE YEAR MODEL BODY TYPE MOBILE HOME LENGTH WIDTH LAST NAME FIRST NAME MIDDLE INITIAL CITY STATE ZIP CODE STREET ADDRESS NAME OF LIENHOLDER DATE OF DISCHARGE PRINTED NAME Representative of Lienholder SIGNATURE Representative of Lienholder NOTICE TO LIENHOLDER Submit this document or a copy of the front of the Certificate of Title reflecting the release of lien within 72 hours of discharge to the Taxpayer and Vehicle Services Division 44 Vantage Way Suite 160 Nashville Tn 37243-8050. Second deliver the Certificate of Title to the person entitled to it with your notation of discharge of Lien indicated* Failure to comply with the above constitutes a misdemeanor under the provisions of Section 55-3-127 T. .

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