VEHICLE RELEASE FORM
I _______________________, Owner of Vehicle described below:
Year _______
Make _____________
Model ____________
VIN# ___________________________
Give ________________________ Authorization to pick up my
above mentioned vehicle.
If giving Insurance company authorization to pick up vehicle.
I am also authorizing Insurance company’s authorized agent.
X ______________________
Notary
-
__________________ ___________
Notary Signature Date
__________________
Notary Printed Name
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signature
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