Contents
The Georgia T4 form serves a critical function in the realm of motor vehicle transactions, specifically addressing the satisfaction of a security interest or lien. This form is executed by the individual or entity holding the lien, ensuring that all parties involved in the transaction are clear on the status of the vehicle’s title. It requires detailed information, including the full legal name of the lien holder, the owner’s name as it appears on the title, and specifics about the vehicle such as its year, make, model, and identification number. The form also emphasizes the importance of accurate information, noting that any discrepancies can lead to the rejection of the title application by the State Revenue Commissioner. Additionally, it includes a notary public acknowledgment, confirming that the affidavit has been sworn and subscribed, which adds a layer of legal authenticity. Notably, the T4 form cannot be used by participants in the Electronic Lien on Title (ELT) system, highlighting the need for traditional documentation in certain situations. As a result, understanding the nuances of this form is essential for anyone involved in the transfer or management of vehicle titles in Georgia.
Georgia T4 Example
CLEAR
Form
NOTICE OF SATISFACTION OF SECURITY INTEREST OR LIEN HOLDER’S AFFIDAVIT
Instructions: This Affidavit should be executed by the person who holds a security interest or lien on the motor vehicle described below, pursuant to Article 3 of Chapter 3 in Title 40. Except for signatures, type or print legibly in black or blue ink or complete electronically and print.
Note: This form is not permitted for use by any participant in the Electronic Lien on Title (ELT) for any security interest or lien which has been recorded electronically.
Personally appearing before the undersigned officer, duly authorized by law to administer oaths, comes
_____________________________________________________________________________________, of
Print Full Legal Name of Executive Officer or Full Legal Name and Driver's License Number of Sole Proprietor or Partner
_____________________________________________________________________________________, located at
Legal Business Name of Security Interest or Lien Holder as listed on Certificate of Title (If Lien Holder is an individual, a copy of driver’s license must accompany this form.)
_____________________________________________________________________________________.
Business address, including city, state and zip code
__________________________________________________________________________________________________
Owner(s) names as it appears on Certificate of Title
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Residence address, including city, state and zip code
Vehicle Year & Make:
Vehicle Identification Number:
Model & Body Style:
State of Title Records:
Title number:
Account number:
I understand that, pursuant to the Motor Vehicles Certificate of Title Act, the State Revenue Commissioner has the authority to investigate issues surrounding the titling and registration of motor vehicles and may refuse to issue a certificate of title if there are reasonable grounds to believe that the application contains a false statement or the applicant fails to furnish required information or documents or any additional information the commissioner reasonably requires. I understand that the Department may have information as to the vehicle’s title history, the security interest holder’s or the owner’s address, or some other information that is relevant to the Act’s requirements, which lien holder does not have. I understand that, based upon this information, the Department has the discretion to reject the application for title.
□ Yes
Notary Public Acknowledgement
I am over the age of majority and give this affidavit on the basis of my personal knowledge of facts and circumstances surrounding the security
interest or lien related to the motor vehicle listed:
__________________________________________________________________________________________________
Sole Proprietor/Partner or Executive Officer Signature |
Date |
Sworn to and subscribed before me this __________ of
(Day)
_____________________________, ____________
(Month)(Year)
Notary Public’s Signature & Notary Seal or Stamp
Notary Public residence address including City, State and Zip Code
Notary Public’s Printed Name
Date Notary Commission Expires:
Notary Public business phone number
This form must be legibly completed and attached to the application for Certificate of Title.
Any alteration or correction voids this form. All previous revisions of this form are obsolete.
Document Breakdown
| Fact Name | Details |
|---|---|
| Form Purpose | The Georgia T4 form serves as a notice of satisfaction of a security interest or lien on a motor vehicle. |
| Governing Law | This form is governed by Article 3 of Chapter 3 in Title 40 of the Official Code of Georgia Annotated. |
| Eligibility | Only the holder of the security interest or lien can execute this affidavit. |
| Electronic Use | The form is not permitted for use by any participant in the Electronic Lien on Title (ELT). |
| Signature Requirements | Signatures must be legible, and the form should be completed in black or blue ink or electronically. |
| Notary Requirement | A notary public must acknowledge the affidavit, including their signature and seal. |
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