Form 5328 - Manufactured Home Lien Title Notification
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MISSOURI DEPARTMENT OF REVENUE
FORM
MOTOR VEHICLE BUREAU
5328
PO BOX 100, JEFFERSON CITY MO 65105-0100
MANUFACTURED HOME LIEN TITLE NOTIFICATION
(REV. 2-2011)
NAME OF REAL PROPERTY OWNER
DATE OF NOTIFICATION
__ __ /__ __ /__ __ __ __
STREET ADDRESS OF REAL PROPERTY OWNER
TELEPHONE NUMBER
( __ __ __ ) __ __ __ - __ __ __ __
CITY
STATE/PROVINCE
ZIP CODE
MANUFACTURED HOME INFORMATION
HOMEOWNER’S NAME
STREET ADDRESS OF HOMEOWNER
CITY
STATE/PROVINCE
ZIP CODE
YEAR
MAKE
SERIAL/IDENTIFICATION NUMBER
LIENHOLDER INFORMATION (IF APPLICABLE) - Notice to lienholder MUST be mailed separately.
NAME OF LIENHOLDER
STREET ADDRESS OF LIENHOLDER
CITY
STATE/PROVINCE
ZIP CODE
The manufactured home described above has been abandoned as prescribed in Section 700.526, RSMo
on real property owned by me. You are hereby notified of the following:
•
The manufactured home was abandoned on __________________________ (date abandoned) and
continues to be abandoned on real property owned by me as of the date of this notice;
•
The manufactured home is located on such real property by reason of a valid rental agreement;
•
The manufactured homeowner is in default of the rental agreement;
•
The amount of rent accrued to date is $ ______________________;
•
The monthly rate at which future rent will accrue is $ ______________________;
•
The manufactured homeowner has not paid or made arrangements for the payment of the accrued rent;
•
I hereby claim a lien on all such rent;
•
The abandoned manufactured home may be redeemed at any time during business hours by paying all
rent accrued under the terms of the rental agreement;
•
You have a right to contest this lien by filing, within ten (10) days of receipt of this notice, a petition in the
associate circuit division of the circuit court in the county in which the manufactured home is located;
•
If the manufactured home remains unredeemed thirty (30) days from the date of mailing of this notice and
within ten (10) days of mailing of this notice a petition is not filed to contest the lien, I will apply to the
director of revenue for a lien title; and
•
When I receive the lien title, I shall have the right to sell the manufactured home to recover unpaid rent,
actual and necessary expenses incurred in obtaining a lien title, and conducting and advertising the sale.
SIGNATURE OF REAL PROPERTY OWNER
DATE SIGNED
__ __ /__ __ /__ __ __ __
PRINTED NAME OF REAL PROPERTY OWNER
DOR-5328 (2-2011)
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