Financing your vehicle after a title has been issued in your name or refinancing your vehicle is considered a supplemental lien. You must complete the Application for Supplemental Lien or Transfer of Lien Form.
Form VSA 66, Application for Transfer and Supplemental Liens, or referred to as the Virginia Vehicle Title Transfer form, is a legal form used by the residents of Virginia to apply for a transfer or supplemental vehicle lien from the Virginia Department of Motor Vehicles (DMV).
Application Type
Mark the appropriate box to determine the type of your application. You may select:
Transfer of Lien means transferring a vehicle to another individual while there is an existing lien on the said vehicle. If you are applying for transfer of lien, you must comply with the following:
Unless the lienholder is a participant in the electronic title program.
Supplemental lien means financing your vehicle even after the title has been issued under your name or refinancing the vehicle to add a new lien. If you are applying for supplemental lien, you must comply with the following:
Unless the new lienholder is the same as the old lienholder and the lienholder is a participant in the electronic title program.
Owner Full Legal Name
Enter the owner’s full legal name in the following format: Last Name, First Name, Middle Name, and Suffix.
Telephone Number
Enter the owner’s active telephone number.
DMV Customer Number/FEIN/SSN
Enter either the owner’s DMV Customer Number, Federal Employer or Identification Number, or Social Security Number.
Co-Owner Full Legal Name
Enter the co-owner’s full legal name in the following format: Last Name, First Name, Middle Name, and Suffix.
Telephone Number
Enter the co-owner’s active telephone number.
DMV Customer Number/FEIN/SSN
Enter either the co-owner’s DMV Customer Number, Federal Employer or Identification Number, or Social Security Number.
Mailing Address
Enter your complete mailing address.
City or Town
Enter the city or town of your mailing address.
State
Enter the state of your mailing address.
ZIP Code
Enter the ZIP Code of your mailing address.
Are any of the vehicle owners on active military duty or service?
Mark “Yes” if the statement is true; otherwise, mark “No.”
Vehicle Identification Number (VIN)
Enter your vehicle’s identification number.
Title Number
Enter your vehicle’s title number.
Plate Number
Enter your vehicle’s plate number.
Plate Type
Enter your vehicle’s plate type.
Year
Enter your vehicle’s model year.
Make
Enter your vehicle’s brand name.
Model
Enter your vehicle’s model.
Body Type
Enter your vehicle’s body type.
Weight
Enter your vehicle’s weight.
Mark the appropriate box to determine the type of your attached title certificate. You may select:
First Lienholder Name
Enter the full legal name of the first lienholder.
The first lienholder refers to the lender in a priority position to be repaid when the borrower falls into loan default.
Lienholder Code
Enter the first lienholder’s code
Lien Date
Enter the lien date in the following format: Month/Day/Year
Lienholder Mailing Address
Enter the first lienholder’s complete mailing address.
City or Town
Enter the first lienholder’s city or town.
State
Enter the first lienholder’s state.
ZIP Code
Enter the first lienholder’s ZIP code.
Second Lienholder Name
Enter the full legal name of the second lienholder.
The second lienholder refers to the lender who gets paid after the first lienholder is paid off.
Lienholder Code
Enter the second lienholder’s code.
Lien Date
Enter the lien date in the following format: Month/Day/Year
Lienholder Mailing Address
Enter the second lienholder’s complete mailing address.
City or Town
Enter the second lienholder’s city or town.
State
Enter the second lienholder’s state.
ZIP Code
Enter the second lienholder’s ZIP code.
Complete this section only when transferring a lien to a new lienholder.
New Lienholder Name
Enter the full legal name of the new lienholder.
Lienholder Code
Enter the new lienholder’s code.
Date of Lien Filing
Enter the new lienholder’s date of filing in the following format: Month/Day/Year
Mailing Address
Enter the new lienholder’s complete mailing address.
City or Town
Enter the new lienholder’s city or town.
State
Enter the new lienholder’s state.
ZIP Code
Enter the new lienholder’s ZIP code.
Complete this section to add a lien.
Lienholder Name
Enter the full legal name of the supplemental lienholder.
Lienholder Code
Enter the supplemental lienholder’s code.
Date of Lien Filing
Enter the supplemental lienholder’s date of filing in the following format: Month/Day/Year
Mailing Address
Enter the supplemental lienholder’s complete mailing address.
City or Town
Enter the supplemental lienholder’s city or town.
State
Enter the supplemental lienholder’s state.
ZIP Code
Enter the supplemental lienholder’s ZIP code.
Owners must sign when applying for a supplemental lien. Lienholders must sign when transferring a lien.
Owner Signature
Affix the owner’s signature.
Date
Enter the date when the owner signed this form in the following format: Month/Day/Year
Co-Owner Signature
Affix the co-owner’s signature.
Date
Enter the date when the co-owner signed this form in the following format: Month/Day/Year
Current Lienholder’s Name
Enter the current lienholder’s full legal name in capital letters.
Current Lienholder’s Signature
Affix the current lienholder’s signature.
Date
Enter the date when the current lienholder signed this form in the following format: Month/Day/Year
New Lienholder’s Name
Enter the new lienholder’s full legal name in capital letters.
New Lienholder’s Signature
Affix the new lienholder’s signature.
Date
Enter the date when the new lienholder signed this form in the following format: Month/Day/Year
Submit your accomplished Virginia Vehicle Title Transfer form to any local DMV customer service center with the appropriate fees. You may also mail the form and fees to:
Virginia Department of Motor Vehicles
Post Office Box 27412
Richmond, Virginia 23269-0001
There is a $10 fee for a car title transfer free; a $10 fee to make changes in a title; and a $10 fee for a title replacement fee.
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