For a sample termination agreement, see Standard Document, Termination. Agreement (7-523-5113). ASSUMPTIONS.To fill out this form, gather all necessary vehicle and lender information. If you are submitting either of these forms, please make sure it is completely filled out, signed, and dated. 2. Enter the name, address, phone number, and fax. Edit Letter to Lienholder to Notify of Trust - Georgia. A dissolved limited liability company may file a certificate of termination with the Secretary of State. Form CD 415 may be used for this purpose. A copy of your driver's license and motor vehicle registration card, certificate, or Title MUST accompany this form. Where do I mail these forms?