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A Motor Vehicle Temporary Lien may be obtained by filing the following information:
- A completed Application for Motor Vehicle Temporary Lien, form SS-4258;
- Payment of the $10 filing fee
Once the application has been processed a cover letter and the form will be returned for your records.
The State of Tennessee does not assign commission numbers, if the form requires an entry enter N/A for Not Applicable.
- Click Here to prepare or file the application online.
- You can find the printable form here.
If a notary moves his or her residence or principal place of business out of the county from which he or she was elected to another county in Tennessee, the notary must notify the county clerk in the county from which the notary was elected and submit an address change form to the county clerk. T.C.A. § 8-16-109
The Office of the Secretary of State has developed an application form that must be used to apply for the program, which captures all required information and must be completed with the assistance of a Certified Application Assistant, who must also sign the application. The application must be submitted to the Safe at Home Program by a certified application assistant.
For more information see our Applicant Guide.