Free Notice of Assignment of Secured Interest in a Vehicle - Michigan

Clear Form

Michigan Department of State

Notice of Assignment of Secured Interest in a Vehicle
Vehicle Information
Year Make VIN

Vehicle Owner Shown on RD-108 Title Application
Name(s) City Street Address State Zip code

Secured Interest Shown on RD-108 Title Application
Name City State Street Address Zip code Date of Original Lien

Secured Interest To Be Assumed By:
Dealership Name City State Street Address Zip code Date Lien Transferred

As the purchaser of this vehicle, if the first secured interest listed on the RD-108 is not accepted (the loan is not approved), I authorize the dealer listed above to assume the loan and finance the vehicle as provided under MCL 257.238. I understand a corrected title will be issued showing the dealer named above as the new secured interest.
Vehicle Purchaser's Signature Printed Name Date

X
Attach copy of original RD-108 title application. The lienholder shown on the RD-108 must submit a Notice of Rejection of Vehicle Financing, (Secretary of State form TR-209). The dealership assumes the loan and applies for a corrected title by submitting this form with new title application, a copy of the original RD-108 title application, standard title fee, and the outstanding title (if available). A corrected title showing the dealer as the new secured interest will be mailed to the vehicle owner.
Authority granted under P.A. 300 of 1949 as amended.

TR-210 (11/07)