Lien Holder Complaint Form

Complaint of Lien Holder's failure to comply with Lien Release requirements

The purpose of this form is to report a lien holder’s violation of SB 558 of the 2006 Session of the Kansas Legislature for failure to release a lien (and title when applicable) upon full payment is satisfaction of the security interest. The lien holder will have three (3) business days after receipt of cash, intra-bank transfer or wired funds payment, and a request for the release of lien to fully execute a release of lien and shall mail or deliver such release as directed by the person who requested the release. When a lien is paid by other than cash, intra-bank transfer or wired funds, the lien holder has ten (10) business days after receipt of such payment and request for the release of lien to fully execute a release of lien and shall mail or deliver such release as directed by the person who requested the release.

Vehicle Information
       
     
   
Lien Holder Information
       
       
     
       
Person(s) or Business Filing Complaint
       
     
     
       
Person(s) or Business who made the final payment Please check box, if information is the same as above.
       
     
     
Zip    
Payoff Information
    Was this the total Amount Due?  
     
     
     
     
 
Contact Information
 
If Yes please answer the below questions:
  Person who made the contact  
  Date of Contact  
Person Contacted  
Below, provide the substance of the conversation, and any follow up action you or the lien holder may have taken as a result of this contact. Please include as much detail as possible.