Fill in a Valid 5017 Missouri Form Open Document Now

Fill in a Valid 5017 Missouri Form

The 5017 Missouri form serves as an official request for creating or updating an online account with the Missouri Department of Revenue, particularly for matters related to motor vehicles, such as notice of lien filing and records access through direct debit. Designed to streamline the process of handling vehicle liens and accessing records online, this form encapsulates sections ranging from new application enrollment to modifications or cancellation of existing account details. Interested parties are encouraged to accurately complete and submit the form to facilitate smooth transactions with the Missouri Department of Revenue. To effortlessly fill out the form, click the button below.

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In this increasingly digital age, the Missouri Department of Revenue has streamlined processes to facilitate easier access to motor vehicle and marine records, as well as the efficient filing of Notices of Liens through an online account setup, as outlined in Form 5017. Aimed at a variety of users including banks, credit unions, individuals, and dealers acting as lienholders or filing for lienholders, this form represents a crucial step towards simplifying interactions with the government while maintaining the integrity and security of personal and business information. It meticulously guides applicants through a process starting from the type of application—new, change, or cancel—and delves into the specific transaction types requested, whether for online notice of lien filings or direct record access. Essential details regarding the business or individual applying, including the contact person's information and identification numbers, are covered in Section B, demonstrating the form's thorough approach to collecting necessary data. Additionally, Sections C and D address financial matters by requiring information about the applicant's financial institution and granting the Department of Revenue authorization for direct debits for payments related to the services accessed. Ensuring compliance with the Driver’s Privacy Protection Act, applicants are reminded of their liability for accuracy and the legal implications of their electronic transactions. Each step of the process, detailed on Form 5017, underscores the responsibilities and requirements, providing a comprehensive framework for accessing Missouri's online vehicle-related services.

Example - 5017 Missouri Form

MISSOURI DEPARTMENT OF REVENUE

MOTOR VEHICLE BUREAU

PO BOX 2167, JEFFERSON CITY MO 65105-2167

(573) 526-3669 http://dor.mo.gov/mvdl

APPLICATION FOR ONLINE ACCOUNT

(NOTICE OF LIEN FILING/RECORDS ACCESS/DIRECT DEBIT)

SECTION A - APPLICATION/TRANSACTION TYPE - CHECK APPROPRIATE BOXES

FORM

5017

(REV. 8-2012)

APPLICATION TYPE

 

 

NEW

CHANGE

CANCEL

TRANSACTION TYPE(S) REQUESTED

 

ONLINE NOTICE OF LIEN FILING

ONLINE RECORD ACCESS

SECTION B - BUSINESS AND CONTACT PERSON INFORMATION - PLEASE TYPE OR PRINT USING A BALL POINT PEN.

SEE INSTRUCTIONS ON REVERSE SIDE.

 

 

BUSINESS

 

 

 

 

 

 

 

 

 

 

 

 

CONTACT PERSON

 

 

 

 

 

NAME OF BUSINESS OR INDIVIDUAL

 

 

 

 

 

 

 

 

CONTACT PERSON’S NAME (LAST, FIRST, MIDDLE)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IDENTIFICATION NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CONTACT PERSON’S ADDRESS (STREET, RR, OR PO BOX NUMBER)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SEE INSTRUCTIONS ON BACK

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BUSINESS OR INDIVIDUAL’S ADDRESS (STREET, RR, OR PO BOX NUMBER)

CITY

 

 

 

 

 

 

 

 

 

STATE

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

 

 

 

 

 

STATE

 

 

ZIP CODE

E-MAIL ADDRESS

 

 

 

 

 

 

TELEPHONE NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

 

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECURITY ACCESS CODE (DPPA NUMBER) - COMPLETE IF APPLYING FOR ONLINE RECORD

TYPE OF BUSINESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ACCESS.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BANK

TITLE LOAN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INDIVIDUAL

SAVINGS AND LOAN

 

 

CREDIT UNION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DEALER FILING AS LIENHOLDER

 

DEALER FILING FOR A LIENHOLDER

 

 

 

 

 

 

 

 

 

DEPARTMENT USE ONLY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOWER (NO CHARGE FOR ONLINE RECORD ACCESS - DO NOT COMPLETE SECTION C OR SECTION D)

 

 

 

 

 

 

 

 

 

OTHER ___________________________________________________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION C - ACCOUNT INFORMATION - COMPLETE ONLY IF NEW APPLICATION OR CHANGING ACCOUNT INFORMATION.

FINANCIAL INSTITUTION NAME

TELEPHONE NUMBER

( )

FINANCIAL INSTITUTION ADDRESS (STREET, RR, OR PO BOX NUMBER)

CITY

STATE

ZIP CODE

ACCOUNT TYPE - CHECK ONLY ONE BOX

 

CHECKING

SAVINGS

GENERAL LEDGER

ROUTING NUMBER

DEPOSITOR (BUSINESS) ACCOUNT NUMBER

SECTION D - DIRECT DEBIT AUTHORIZATION - CHECK APPROPRIATE BOX.

A VOIDED CHECK OR DEPOSIT SLIP MUST BE ATTACHED.

I hereby authorize the Missouri Department of Revenue (Department) to initiate an electronic debit from the account identified above for payment of Notices of Liens processed and/or any records accessed online. I recognize that it is my responsibility to have the funds available in the account identified above for the withdrawal of my payment. I also understand that if the Department cannot deduct the payment from my account because funds are unavailable, I will be subject to overdraft fees from my financial institution. I will also be charged a dishonored payment penalty by the department. I further certify under penalties of perjury that I am authorized to sign this application and that any personal information obtained from any department records accessed will only be used as provided for in the federal Driver’s Privacy Protection Act.

I hereby cancel the authorization to electronically debit the account identified above.

SIGNATURE OF BUSINESS OWNER, PARTNER, CORPORATE OFFICER, OR INDIVIDUAL

PRINTED NAME OF BUSINESS OWNER, PARTNER, CORPORATE OFFICER, OR INDIVIDUAL TITLE OF BUSINESS OWNER, PARTNER, CORPORATE OFFICER, OR INDIVIDUAL

STAPLE VOIDED CHECK OR DEPOSIT SLIP HERE

DOR-5017 (8-2012)

PLEASE READ THIS INFORMATION CAREFULLY

COMPLETION INSTRUCTIONS

1.To apply for an online account to file Notices of Lien and/or access motor vehicle and marine records and have the payment for such transactions direct debited, complete this form as follows:

General Instructions

Complete Sections A, B, C, and D if you are enrolling for the first time, re-enrolling after cancellation, changing your existing debit authorization, or other information. If you are a tower, do not complete Sections C and D when requesting online record access only.

If you are cancelling your debit authorization, complete Sections A, B, and D only.

Section A - Application/Transaction Type

Application Type - Check the appropriate box.

1.New - Complete for new enrollment or re-enrollment after cancellation.

2.Change - Complete to change type of account, financial institution or branch routing number, depositor (business) account number, or other information.

3.Cancel - Complete to cancel your debit authorization.

Transaction Type(s) Requested - Check the appropriate box(es).

Section B - Business and Contact Person Information

Complete all blocks for both the business or individual and contact person information.

Security Access Code - This code is issued by the Motor Vehicle Bureau to entities who qualify under the Driver’s Privacy Protection Act to receive personal information contained in the department’s vehicle and marine records. If you indicate you would like online record access in Section A - Transaction Type(s) Requested, you must enter the Security Access Code. If you do not have a Security Access Code, you may apply by completing a Request for MV/DL Record(s)/Security Access Code (DOR-4678). The application can be obtained from any local contract office.

Identification Number - Please record the FDIC number (bank), NCUA number (credit union), Dealer number (licensed motor vehicle/boat dealer), FEIN (any other type of business), or SSN (individual) as the identification number. The last six blocks are for Department of Revenue use only.

Type of Business - Check the appropriate box.

Section C - Account Information

Financial Institution Information - Record the financial institution’s name, telephone number, address, city, state, and zip code.

Account Type - Check the appropriate box.

Routing Number - Your financial institution’s routing number is printed on the bottom left-hand portion of your business or personal checks or deposit tickets (the first 9 digits). See examples 1 and 2 below.

Depositor (Business) Account Number - Your depositor account number is printed on the bottom of your business or personal

checks following the routing number. It may be the first series of digits after the routing number followed by the check number

(example 1), or it may be the series of digits which follow the check number (example 2). NOTE: Check number is not included in the depositor account number.

 

Example 1

 

 

 

Example 2

 

 

 

 

XYZ BUSINESS

 

CHECK NO. 4444

 

XYZ BUSINESS

 

CHECK NO.

 

 

HOMETOWN, USA

 

 

HOMETOWN, USA

 

 

 

 

PAY TO THE ORDER OF ___________________________________

 

PAY TO THE ORDER OF ___________________________________

 

 

121456789

8765432109812

4444

 

R121456789

4444

8765432109812

 

 

 

 

 

 

 

 

 

 

 

Routing No.

Dep. Acct. No.

Ck. No.

 

Routing No.

Ck. No.

Dep. Acct. No.

 

 

 

 

 

 

 

 

 

NOTE: Credit unions and savings and loan associations may differ from the above examples. Please verify your depositor account number and electronic routing number with your financial institution.

Section D - Direct Debit Authorization

Check appropriate box. Attach a voided business or personal check or deposit slip to the front right-hand side of this application. This is necessary to verify the depositor account number, routing number, and financial institution.

2.Submit the completed application to the following address:

MOTOR VEHICLE BUREAU

PO BOX 2167

JEFFERSON CITY MO 65105-2167

CHANGE FINANCIAL INSTITUTION OR DEPOSITOR ACCOUNT INFORMATION

Debits (withdrawals) will continue to be made from the designated account at your financial institution until the Missouri Department of Revenue is notified that you wish to redesignate your account and/or financial institution. To redesignate, complete and submit a new Application for Online Account (Notice of Lien Filing/Records Access/Direct Debit) with the new information.

DOR-5017 (8-2012)

File Attributes

Fact Name Detail
Form Identification Form 5017 (REV. 8-2012)
Purpose Application for Online Account (Notice of Lien Filing/Records Access/Direct Debit)
Governing Body Missouri Department of Revenue, Motor Vehicle Bureau
Submission Address PO BOX 2167, JEFFERSON CITY MO 65105-2167
Contact Information (573) 526-3669; [Missouri Department of Revenue Website](http://dor.mo.gov/mvdl)
Application Transaction Types Includes options for New, Change, or Cancel transactions
Direct Debit Authorization Applicants can authorize direct debits for payment of Notices of Liens processed and/or any records accessed online.
Security and Privacy Compliance Applicants must comply with the federal Driver’s Privacy Protection Act when accessing personal information through department records.

How to Write 5017 Missouri

After deciding to set up or modify your online account for lien filings or records access with the Missouri Department of Revenue, the 5017 form is the essential paperwork to start with. This process may seem a bit daunting at first, but by following a step-by-step guide, you can complete it accurately. Whether you're looking to file Notices of Lien, gain access to motor vehicle and marine records online, or set up direct debit for these services, it's important to ensure every part of the form is filled out correctly. Let's break down the steps needed to complete the form smoothly and efficiently.

  1. Identify the Application/Transaction Type in Section A. Check the box that applies to your needs: 'New' for first-time enrollment, 'Change' if you need to update any information or modify your service, and 'Cancel' to discontinue your direct debit authorization.
  2. In Section A, specify the type of transaction(s) you are requesting by checking the appropriate box(es): Online Notice of Lien Filing and/or Online Record Access.
  3. Move on to Section B for Business and Contact Person Information. Type or print using a ball point pen. Provide the name of the business or individual applying, contact person’s name, and ID number which could be FDIC, NCUA, Dealer number, FEIN, or SSN depending on the entity. Also, include both mailing addresses, email, telephone number, and the security access code if applying for online record access.
  4. For Section C, Account Information, fill this out only for a new application or if you're changing your account information. Include your financial institution's details, checking, savings or general ledger account type, routing number, and depositor account number.
  5. In Section D, Direct Debit Authorization, indicate whether you are authorizing or canceling direct debit. Remember, a voided check or deposit slip must be attached here.
  6. After completing the form, verify all the information for accuracy. Sign and date the form in Section D to certify your authorization. Ensure the name of the business owner, partner, corporate officer, or individual is printed clearly along with their title.
  7. Finally, mail the completed form to: MOTOR VEHICLE BUREAU PO BOX 2167 JEFFERSON CITY MO 65105-2167. If changing financial institution or depositor account information, remember that debits will continue from the current account until the Missouri Department of Revenue processes your updated form.

Completing the form is just the beginning. Once submitted, your application will be reviewed by the Missouri Department of Revenue, and upon approval, you will receive confirmation and further instructions on how to use your online account. Remember, it's essential to keep a copy of your completed form and any correspondence for your records. This proactive step in managing your account ensures you're well-prepared for any online transactions related to Notices of Lien or record access. By following these steps carefully, you can navigate the process with confidence and ease.

What You Should Know About This Form

What is Form 5017 used for?

Form 5017 is utilized by the Missouri Department of Revenue for individuals or businesses to apply for an online account. This account enables the filing of Notices of Lien and accessing motor vehicle and marine records. Additionally, it allows for the direct debit of payment for these transactions from the user's account.

Who needs to complete Form 5017?

Any business or individual needing to file Notices of Lien or access motor vehicle and marine records through the Missouri Department of Revenue’s online system must complete Form 5017. This includes banks, title loan companies, savings and loan associations, credit unions, dealers filing as lienholders, or dealers filing for a lienholder.

What sections of Form 5017 must be completed?

Completing Form 5017 involves several sections:

  1. Section A: Application/Transaction Type – where you indicate a new application, change, or cancelation.
  2. Section B: Business and Contact Person Information – detailing the applicant's name, address, email, telephone number, and type of business.
  3. Section C: Account Information – required for new applications or changes to the account information, detailing financial institution and account details.
  4. Section D: Direct Debit Authorization – for authorizing direct debit payments.

Towers requesting just online record access do not need to complete Sections C and D.

Is there a charge for online record access?

No, there is no charge for accessing records online. Sections C and D related to direct debit information do not need to be completed if access to online records is the only service required.

How do I cancel my direct debit authorization?

To cancel your direct debit authorization, you need to complete Sections A, B, and D of the form, indicating a cancelation in Section A, and submit it to the Motor Vehicle Bureau.

Where do I send my completed Form 5017?

Once filled, the Form 5017 should be mailed to the MOTOR VEHICLE BUREAU, PO BOX 2167, JEFFERSON CITY MO 65105-2167.

What should I do if I want to change my financial institution or account information?

If you wish to change the financial institution or account information, you must complete a new Form 5017 with the updated details and submit it to the provided address.

How do I verify the routing number and depositor account number?

The routing number is located on the bottom left-hand portion of your checks or deposit slips, while your depositor account number can be found immediately following the routing number or after the check number, depending on the check layout. An attachment of a voided check or deposit slip is necessary for verification when applying for direct debit authorization.

What happens if a payment cannot be debited from my account?

If the Missouri Department of Revenue cannot deduct a payment due to insufficient funds, you will be responsible for any overdraft fees charged by your financial institution and a dishonored payment penalty by the department. It is crucial to ensure sufficient funds are available in your account to cover the transactions.

Common mistakes

When filling out the Form 5017 for the Missouri Department of Revenue, it's crucial to pay close attention to details to ensure your application is processed smoothly. However, a few common mistakes can create bumps in the road. Understanding these pitfalls can help you avoid them:

  1. Incorrect or Incomplete Transaction Type Selection: The form offers options under Section A for the application or transaction type, including new, change, or cancel. Ensuring the correct box is checked is vital, as this directs the type of processing your form will undergo. Additionally, specifying the transaction type(s) requested is just as critical. Omissions or errors in this section can lead to processing delays or incorrect handling of your request.
  2. Improper Business and Contact Information: Section B requests detailed information regarding both the business or individual and contact person. A common mistake is not providing complete information or using a non-ballpoint pen, which could result in unclear or unprocessable applications due to the specific instructions to type or print using a ballpoint pen. Ensuring the clarity and completeness of contact details can prevent miscommunications or lost correspondence.
  3. Banking Details Errors: Sections C and D involve sensitive financial information crucial for direct debit setup or changes. Frequently, mistakes occur in providing an inaccurate routing number, depositor (business) account number, or failing to attach a voided check or deposit slip. Such errors can lead to unsuccessful debit transactions or potential fees, thus double-checking these details against your banking records is indispensable.
  4. Failure to Comply with DOR Instructions for Changes or Cancellations: If there's a need to alter financial institution details or cancel the direct debit authorization, the form highlights specific sections to be completed and submitted. Overlooking these tailored instructions can result in continued undesired debits or failure to effect desired changes to your account settings. It's crucial to carefully review and follow these guidelines to ensure your updates are reflected accurately.

By avoiding these common mistakes, you can facilitate a smoother interaction with the Missouri Department of Revenue's processes for managing your motor vehicle or marine records and lien filings. Paying close attention to detail and carefully reviewing the instructions and information you provide can save you time and potential headaches down the line.

Documents used along the form

When businesses or individuals in Missouri engage with the motor vehicle and marine records system, particularly for online account management like filing Notices of Liens or accessing records, they often need to submit the Form 5017 to the Missouri Department of Revenue. However, the process frequently requires additional documentation to either support the initial application, modify account details, or fulfill specific legal obligations. Understanding these supplementary documents can streamline interactions with the Department of Revenue and ensure compliance with state requirements.

  • Request for MV/DL Record(s)/Security Access Code (DOR-4678): Needed to obtain a security access code if applying for online record access, this form helps businesses and individuals qualify under the Driver’s Privacy Protection Act to receive protected personal information.
  • Voided Business or Personal Check or Deposit Slip: Required for direct debit authorization, this document is attached to the application to verify the depositor account number and routing number.
  • Missouri Dealer License Application: For dealers looking to file as a lienholder, this application is a prerequisite to conducting business relevant to motor vehicle and marine sales in Missouri.
  • Title Application (Form 108): Used to apply for a vehicle title in Missouri, which is often a necessary step before or after filing a notice of lien, depending on whether the lien is for a new purchase or an existing asset.
  • Lien Release (Form 4809): If a lien is fulfilled or otherwise needs to be removed, this document is submitted to officially release the lien from the vehicle or marine record.
  • Power of Attorney (Form 4054): This form allows an individual or business entity to grant legal authority to another to act on their behalf in matters related to vehicle or marine registration and titling in Missouri.
  • Notice of Sale or Transfer (Form 5173): Submitted by sellers of vehicles or boats, this form notifies the Department of Revenue of the change in ownership, which can affect lien status and need to be filed in conjunction with lien notices.
  • Application for Missouri Title and License (Form 108): Essential for registering a vehicle or boat in Missouri, this form may be used in conjunction with lien filings, especially for new purchases that need to be recorded.
  • Personal Property Tax Receipt: Often required to register a vehicle or boat in Missouri, a current tax receipt proves that the personal property taxes for the owner have been paid, which is a prerequisite for many transactions involving the Department of Revenue.

Each of these documents plays a crucial role in the broader context of Missouri's motor vehicle and marine records management. By familiarizing themselves with these forms, businesses and individuals can ensure a smoother process, whether they’re establishing a new online account with the Department of Revenue, managing existing accounts, or navigating the complexities of lien filings and record access. Understanding the purpose of each document and when it’s required will help streamline any transaction with the Missouri Department of Revenue, ensuring compliance and facilitating the intended business or personal outcomes.

Similar forms

The 5017 Missouri form, designed for online account application for notice of lien filing, records access, and direct debit by the Missouri Department of Revenue, echoes the purposes and structure of several other vital documents within the realm of vehicle and financial transactions. Specifically, its parallels can be drawn with forms used across different states for lien filings and direct debit authorizations for tax and registration fees, and federal documents related to privacy and electronic debits.

Firstly, the Uniform Commercial Code (UCC) filing form, prevalent across various states, shares numerous functionalities with the Missouri 5017 form. The UCC form is a legal document filed by lenders to declare their rights to collateral or liens against a debtor's property, be it personal or business-related. Both the 5017 form and the UCC filing forms require detailed business and contact person information, a declaration of the transaction type (in the case of the UCC, often a new lien, amendment, or continuation), and specific details about the lien itself. Although the UCC form is more broadly applicable across different types of properties and not limited to motor vehicles, the core purpose of securing a public claim on assets is mutual.

Secondly, another analogous document is the IRS Form 9779, EFTPS Direct Debit Application. This form facilitates taxpayers in enrolling for direct debit for their taxes, very much akin to the direct debit authorization segment in Missouri's form 5017 for lien filings and record access payments. Both documents necessitate the provision of financial institution details, such as routing numbers and account numbers, to set up the direct debit service. Furthermore, they encompass consent clauses where the applicant authorizes the respective department (the IRS for Form 9779 and the Missouri Department of Revenue for Form 5017) to initiate electronic debits. The similarity bolsters the convenience and efficiency of processing financial transactions directly from one's bank account, mitigating the risks of late or missed payments.

Lastly, the 5017 Missouri form aligns with the Federal Driver’s Privacy Protection Act (DPPA) Request Form in terms of privacy concerns and permissions. The section of the 5017 form regarding the security access code for online record access is particularly reminiscent. Both forms are fundamentally concerned with the lawful request and use of personal information derived from motor vehicle records. They ensure that any access to or sharing of such information complies with federal privacy protection standards, outlining the specific circumstances under which the information may be used and requiring certification from the applicant that these conditions are understood and will be adhered to.

Dos and Don'ts

When filling out the 5017 Missouri form, there are several key practices you should follow to ensure your application process is seamless and correct. It's equally important to be aware of common mistakes to avoid. Below, find a compiled list of dos and don'ts to guide you through the process.

  • Do carefully read the instructions provided on the form before you begin filling it out. They contain valuable information that can answer many of your questions.
  • Do use a ballpoint pen or type your responses if the form allows, to ensure that your information is legible and can withstand handling.
  • Do check the appropriate boxes in Section A to indicate the application type (New, Change, Cancel) and the transaction type(s) requested. Correct selection is crucial for processing.
  • Do ensure that all contact information for both the business and contact person is complete and accurate in Section B. This information is essential for any follow-up communication.
  • Do attach a voided check or deposit slip as required in Section D for the Direct Debit Authorization. This verifies your financial information and facilitates the direct debit process.
  • Do review your application thoroughly before submitting it. Double-check that all information is correct and that no required fields have been missed.
  • Don't skip any sections of the application that are applicable to your request. Incomplete applications can result in processing delays.
  • Don't use highlighters or other markers that may make the form difficult to photocopy or scan, as the form may need to be duplicated by the Department.
  • Don't forget to include your Security Access Code (DPPa number) in Section B if you are applying for online record access. Without it, your application may not be processed for this service.
  • Don't enter incorrect routing or account numbers in Section C. Use your financial documents as reference to ensure accuracy.
  • Don't leave the signature fields blank. The application must be signed by the business owner, partner, corporate officer, or individual to be considered valid.
  • Don't disregard the instructions for redesignating your account or financial institution. Properly updating your information is crucial for continued service.

Misconceptions

  • Only businesses can apply: A common misconception is that the Missouri Form 5017 is exclusively for businesses. In fact, both businesses and individuals can apply for access to online services, including notice of lien filing and records access, as specified in Section A and B of the form.

  • Physical checks are the only accepted form of verification: While attaching a voided check or deposit slip is recommended for direct debit authorization in Section D, this requirement mainly serves to verify the depositor account number and financial institution information. Other forms of account verification may be accepted if they provide the necessary account and routing numbers.

  • Limited to Missouri entities only: It might be misunderstood that only Missouri-based entities can use this form. However, any eligible individual or business, regardless of their state, can apply as long as they meet the requirements for lien filing or records access in Missouri.

  • Online access is immediate: Completing and submitting Form 5017 does not grant immediate online access. The application undergoes a review process by the Missouri Department of Revenue, which must approve the request before access is granted.

  • Application is for lien filing only: While the form prominently mentions the online notice of lien filing, it also allows for online records access, which includes motor vehicle and marine records, as clearly indicated in the transaction type requested section.

  • Application fees must be paid upfront: There's a misconception that an application fee is required when submitting Form 5017. The form does not specify any application fee, especially for access to online record services, which is mentioned as free in the instructions.

  • Direct Debit is mandatory: It may be believed that direct debit setup is mandatory for all transactions. Direct Debit is optional and only necessary if you want Notices of Liens processed or records accessed online to be debited directly from your account, as detailed in Section C and D.

  • Form does not cover record access: Another misconception could be that Form 5017 is solely for lien filing and does not cover record access. Section A clearly allows users to request online record access in addition to online notice of lien filing.

  • Security Access Code is not required: Some might think the Security Access Code (DPPA number) is optional. If requesting online records access, this code is necessary to comply with the federal Driver’s Privacy Protection Act, as indicated in Section B.

  • Electronic submission is available: While the form discusses online accounts, it might be misunderstood that Form 5017 can be submitted electronically. Submission details instruct the applicant to mail the completed form, indicating a physical submission process is required.

Key takeaways

When individuals or businesses in Missouri need to manage online transactions related to vehicle liens and records with the Department of Revenue, the Form 5017 plays a crucial role. Here are seven key takeaways for filling out and using this important form:

  • The form serves multiple purposes, including applying for a new online account, making changes to an existing account, canceling an account, and authorizing direct debits for payment of notices of liens and other records accessed online.
  • Section A of the form requires applicants to specify the nature of their application—whether it's new, a change to existing information, or a cancellation. Additionally, applicants must identify the type of transactions they are requesting, such as online notice of lien filing or online record access.
  • Applicants must provide detailed business and contact person information in Section B. This includes not only names and addresses but also specific identifiers like the FDIC or NCUA number for financial institutions, dealer number for vehicle or boat dealers, FEIN for other types of businesses, or SSN for individuals.
  • A Security Access Code (DPPA Number) must be completed if applying for online record access, emphasizing the form's compliance with the federal Driver’s Privacy Protection Act and ensuring the protection of personal information.
  • Section C is focused on account information related specifically to the financial institution and includes the need for details such as the financial institution’s name, telephone number, type of account, and the routing and depositor account numbers. These are crucial for setting up the direct debit authorization.
  • Direct Debit Authorization in Section D requires a thorough understanding that the applicant is authorizing the Missouri Department of Revenue to initiate electronic debits for payment. It also demands acknowledgment of the responsibility to have sufficient funds and an understanding of the potential consequences of insufficient funds, including overdraft fees and penalties.
  • For accuracy and the prevention of fraud, a voided check or deposit slip must be attached to the application to verify the account information provided. This step is crucial for ensuring that the direct debits are correctly processed against the intended account.

Completing the Form 5017 accurately and understanding the commitments being made, especially in terms of direct debit authorizations, are essential for businesses and individuals engaging in lien filings and accessing vehicle or marine records in Missouri.

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