Form T-4, Notice of Satisfaction of Security Interest or Lien Holder’s Affidavit, is a notarized affidavit in which the holder of a security interest or lien on a motor vehicle states the interest has been satisfied. It is published by the Gwinnett County Tax Commissioner, the office that also bills Gwinnett County property tax and runs the county tag offices. The lien holder completes it, and it is attached to the application for Certificate of Title. On this page you can fill out the form online on FillingPDF and download or print the completed PDF; the official PDF is published by the agency at the link below.
Last updated
What is T-4?
Form T-4, Notice of Satisfaction of Security Interest or Lien Holder’s Affidavit, is the affidavit the holder of a security interest or lien on a motor vehicle executes before a notary to show the interest has been satisfied, so the vehicle's title can be processed.
The form is completed by the lien holder, not by the vehicle owner. It identifies the lien holder (the executive officer, or the sole proprietor or partner), the lien holder's legal business name as listed on the Certificate of Title and its business address. It also identifies the vehicle owner(s) as they appear on the title, their residence address, and the vehicle: year and make, model and body style, Vehicle Identification Number, state of title records, title number and account number.
The lien holder acknowledges that the State Revenue Commissioner may investigate titling and registration matters, may refuse to issue a certificate of title on certain grounds, and that the Department may hold information the lien holder does not have and may reject the title application. The affidavit is given under Article 3 of Chapter 3 in Title 40 and is sworn before a notary public.
The form says it must be legibly completed and attached to the application for Certificate of Title. It is not permitted for any participant in the Electronic Lien on Title (ELT) program for a security interest or lien recorded electronically. The Tax Commissioner's page on title name changes separately says that liens shown on a current title must be released and that a lien release form completed by the holder must be submitted in original.
Who needs to file T-4?
The person who holds a security interest or lien on the motor vehicle described on the form executes it. The signer is an executive officer of the lien holder, or the sole proprietor or partner when the lien holder is a business of that kind.
- If the lien holder is an individual, a copy of the driver's license must accompany the form, and a sole proprietor or partner gives a driver's license number with the full legal name.
- A notary public or other officer authorized to administer oaths must complete the acknowledgement; the signer is the one who personally appears before that officer.
Do not use Form T-4 if you take part in the Electronic Lien on Title (ELT) program and the security interest or lien was recorded electronically: the form states it is not permitted for those liens.
Vehicle owners do not complete this form themselves. It is the lien holder's affidavit, and an owner whose lien has not been satisfied must go to the lien holder; the Tax Commissioner's name-change page tells owners in that position to contact the lien or security interest holder.
When to file T-4
Form T-4 is used once the security interest or lien on the vehicle has been satisfied and the title paperwork needs proof of that. The form states that it must be attached to the application for Certificate of Title, so it goes in whenever that application is submitted. No separate due date is printed on it.
Complete a fresh copy of the current revision (Rev. 2-2015) for each use: the form says any alteration or correction voids it and all previous revisions are obsolete. Because the form is sworn before a notary, arrange the notary acknowledgement at the time the lien holder signs.
Documents you need
- Application for Certificate of Title: Form T-4 must be attached to it.
- A copy of the lien holder's driver's license, only if the lien holder is an individual.
- Notary public acknowledgement completed on the form itself: sworn statement, notary signature and seal or stamp, printed name and commission expiration date.
How to fill out T-4
Name the executive officer or proprietor
In the opening statement, print the full legal name of the executive officer. For a sole proprietor or partner, print the full legal name and driver's license number instead.
Enter the lien holder's business details
Print the legal business name of the security interest or lien holder exactly as listed on the Certificate of Title, then the business address with city, state and zip code. If the lien holder is an individual, a copy of the driver's license must accompany the form.
Enter the owner names and address
Print the owner(s) names as they appear on the Certificate of Title, then the owner's residence address, including city, state and zip code.
Describe the vehicle
Enter the Vehicle Year & Make, the Vehicle Identification Number and the Model & Body Style.
Enter the title record details
Fill in State of Title Records, Title number and Account number.
Check the acknowledgement box
Read the statement about the State Revenue Commissioner's authority and the Department's discretion to reject the title application, and mark the box for Yes if you understand it.
Sign and date as lien holder
Under the Notary Public Acknowledgement, the sole proprietor, partner or executive officer signs and dates the affidavit, which is given on personal knowledge of the security interest or lien.
Complete the notary section
The notary enters the residence address, the day, month and year of the oath, signature and seal or stamp, printed name, commission expiration date and business phone number.
Review, download and attach
Check every entry against the Certificate of Title, as corrections void the form. Download or print the completed PDF from FillingPDF, have it signed and notarized, and attach it to the application for Certificate of Title.
How to submit T-4
The form names one destination: the application for Certificate of Title, to which Form T-4 must be attached. It prints no mailing address, portal or appointment rule of its own.
- With the title application: attach the completed, notarized original to the application for Certificate of Title and submit them together.
- At a Gwinnett tag office: for a name change on a title, the Gwinnett County Tax Commissioner's page tells owners to bring the paperwork to a Gwinnett tag office, and says the original of any lien release form must be submitted. Ask the Tax Commissioner's office whether it applies to your transaction.
- Individual lien holders: include a copy of the lien holder's driver's license with the form.
Do not use the form for a lien recorded electronically through the Electronic Lien on Title (ELT) program. FillingPDF lets you fill out and download the PDF; submission follows the channels above.
Common mistakes to avoid
- Using Form T-4 for a security interest or lien recorded electronically by a participant in the Electronic Lien on Title (ELT) program; the form states it is not permitted for those liens.
- Altering or correcting the form after completing it; the form states any alteration or correction voids it, so start a clean copy.
- Leaving out the copy of the driver's license when the lien holder is an individual.
- Submitting the affidavit on its own instead of attaching it to the application for Certificate of Title.
- Using an older revision of the form; the form says all previous revisions are obsolete.
- Entering a lien holder name that differs from the legal business name listed on the Certificate of Title.
- Skipping the notary acknowledgement: no notary signature and seal or stamp, printed name or commission expiration date.
- Filling the typed or printed entries in a color other than black or blue ink, or illegibly; entries other than signatures must be legible.
Frequently asked questions
What is Form T-4 used for?
Form T-4 is the lien holder's affidavit that a security interest or lien on a motor vehicle has been satisfied. The holder of the interest completes it before a notary, and it is attached to the application for Certificate of Title.
Who completes and signs Form T-4?
The person who holds the security interest or lien, not the vehicle owner. An executive officer signs for a company; a sole proprietor or partner signs for themselves. A notary public must complete the acknowledgement section.
Can I use Form T-4 if the lien is in the Electronic Lien on Title (ELT) program?
No. The form states it is not permitted for any participant in the Electronic Lien on Title (ELT) program for a security interest or lien that has been recorded electronically.
Does Form T-4 need to be notarized?
Yes. It is an affidavit sworn before an officer authorized to administer oaths. The notary section asks for the date sworn, signature and seal or stamp, printed name, commission expiration date and business phone number.
What do I attach to Form T-4?
If the lien holder is an individual, a copy of the driver's license must accompany the form. The form itself must be attached to the application for Certificate of Title.
Can I fix a mistake on Form T-4 by crossing it out?
No. The form states that any alteration or correction voids it. Complete a new copy of the current revision instead; the form says all previous revisions are obsolete.
Can I fill out Form T-4 online?
You can complete the PDF online on FillingPDF and download or print it. Signatures are added by hand, and the notary completes the acknowledgement. FillingPDF is independent of the Gwinnett County Tax Commissioner and does not file the form.
Ready to fill out T-4?
Fill out T-4 now