Leased Vehicle
Owner's Authorization to Lessee
THE DESCRIBED VEHICLE:
MAKE ________________________________ YEAR MODEL ___________________
BODY TYPE _________________ VIN_______________________________________
Lessor (Vehicle Owner):
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Complete Mailing Address
The Lessee has leased the vehicle described in this form. Under the terms of the lease,
Lessee has exclusive control of its operation for a period of not less than 90 days. Lessor
authorizes Lessee to register the vehicle as provided by T.C.A. Section 55-4-101 (d)(1)
and to change the classification of the registration prior to its expiration or prior to the
termination of the lease.
Lessor authorizes the State of Tennessee to register the vehicle in Lessee's name ($2.00
fee required). Lessor waives its rights to any license plate issued to Lessee.
Lessee Registrant (owner of plate):
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Complete Mailing Address
To be Completed by Lessor
RV-F1309201 (Rev. 7/05)
RDA 692
Tennessee Department of Revenue
Taxpayer and Vehicle Services Division
Vehicle Services Section
44 Vantage Way, Suite 160
Nashville, TN 37243-8050
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