Fill and Sign the Held for Lien and to Form

AOC-CVM-900, Rev. 8/17 © 2017 Administrative Of�ce of the Courts STATE OF NORTH CAROLINA County In The General Court Of Justice District Court Division - Small Claims File No. COMPLAINT TO RECOVER MOTOR VEHICLE HELD FOR LIEN AND TO DETERMINE AMOUNT OF LIEN The motor vehicle described below is located in the county named above. I am the owner of the motor vehicle or the person who took it to the defendant. The defendant is holding the personal property described below because the defendant claims a lien as one who repairs, services, tows or stores property. who operates a business for garaging or parking motor vehicles for the public. who is a landowner on whose property the motor vehicle was abandoned. REQUEST FOR ORDER FOR IMMEDIATE POSSESSION Pursuant to G.S. 44A-4(a), I deposit with the Clerk of Superior Court in cash the full amount claimed as lien by the defendant. I request the Clerk to issue an order to the defendant to relinquish possession of the property to me. NOTICE TO DEFENDANT: If the amount of lien the plaintiff stated you claimed is not the correct amount owed, you must within three working days after this Complaint was served on you, �le with the Clerk of Superior Court, in the county named above, a statement of the amount actually owed to you. If you do not �le such a statement, the amount stated by the plaintiff as your lien will be the amount the magistrate or judge will consider as the lien and you may not assert a larger lien at the trial. County Name And Address Of Plaintiff Name And Address Of Defendant 1 Name And Address Of Defendant 2 County Telephone No. Telephone No. Telephone No. Name And Address Of Plaintiff’s Attorney County Attorney Bar No. G.S. 44A-4(a), 20-77(d) VERSUS Description Of Motor Vehicle Amount Claimed As Lien By Defendant Amount Undisputed By Plaintiff (amount I owe) I demand recovery of the property listed above and request the Court to �nd that I owe the defendant only the amount undisputed by me. The defendant claims that the full amount I owe the defendant is as stated below. (Attach copy of bill, if available.) I dispute the amount claimed and state that I owe the amount speci�ed below as the undisputed amount. Date Date Signature Of Person Authorized To Administer Oaths Signature Of Plaintiff Or Attorney SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME Date My Commission Expires SEAL Notary Deputy CSC Assistant CSC Clerk Of Superior Court $ $