Property Release Form
Upon signing this form, you are agreeing that you removed all the belongings listed above and you are taking responsibility for those items. You understand that you are not able to remove items attached to the vehicle. This includes, but is not limited to, stereos, speakers, amplifiers, wheels, tires, engine parts, batteries, roof racks, or anything thing that screwed, velcroed, wired, or mounted.
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Call Number
*
Date / Time
*
Date
Time
Customer Name
*
First
Last
Driver Name
*
First
Last
Driver's License Number
*
Driver's License State
*
Vehicle Owner
*
VIN Number
*
Year, Make, Model
*
Items Released
*
Releasee Signature
*
Clear Signature
Driver Signature
*
Clear Signature
Upload Photo ID
*
Click or drag a file to this area to upload.
Upload Proof of Ownership
*
Click or drag a file to this area to upload.
Model Year, of
Upload POA/Misc.
Click or drag a file to this area to upload.
Submit