__________________________________________________________________________________________________
__________________________________________________________________________________________________
DEPARTMEMNT OF BUSINESS AND INDUSTRY
NEVADA HOUSING DIVISION – MANUFACTURED HOUSING
1830 E. College Pkwy. #120, Carson City, Nevada 89706; Phone: 775-684-2940
3300 W. Sahara Ave. #320, Las Vegas, Nevada 89102; Phone: 702-486-4135
LIEN SATISFIED FOR LIENHOLDERS (TL-102)
Email Address (required): ___________________________________________________________________________
Phone Number (required): __________________________________________________________________________
Contact Name (Required): __________________________________________________________________________
Year: ________________ Manufacturer: ___________________________Model: _________________________
Serial #: ___________________________________________________ Size: ________________________________
Registered Owner(s): _______________________________________________________________________________
The undersigned lienholder certifies that the lien against the above described structure and registered owner(s) has been
fully satisfied, released and has not been assigned to any other party.
Lienholder Legal Name: ____________________________________________________________________________
Business or Residence Address: ___________________________________________________________________
City: _______________________________________________State: ___________________Zip: _________________
SIGNATURE: ______________________________________________ TITLE: _______________________________
Lienholder
SIGNATURE: ______________________________________________ TITLE: _______________________________
Lienholder
For Notary use only
State of ____________________ County of _____________________
Subscribed and sworn to before me ____________________________________________________________________,
Name of Notary Public
the undersign Notary Public, this _________________ day of ____________, 20____, by
Name of the person signing in presence of the Notary Public
Notary Public Signature Notary Stamp or Seal
TL – 102 (Rev 05/2019) Page 1 of 1