Name and Address of Repossessor. Address. Commissioner of Motor Vehicles (enter Name of Motor Vehicles office notified).Complete in blue or black ink or print form. 2. If the title is in your name and there is no lien holder, no one can legally take the car. The bill of sale is not necessary. 1. Enter the lienholder's name and address. 1. Enter the lienholder's name and address. Adobe Reader may be required for your browser or you may need to download the form to complete it properly. The lienholder of the Vehicle ("Lienholder") shown in the Declarations may request cancellation this Policy for non-payment or as a result of documented and. The lender (also called a lienholder) has a security interest in the car.