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Vehicle Removal Written Authorization
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Vehicle Identification Number (VIN)
Vehicle License Plate Number
Vehicle Year
Vehicle Make
Vehicle Model
Vehicle Color
Property Owner or Lessee Name
*
First
Last
Layout
Physical Address Where Vehicle is Located
City
County
Removal Authority Given To (company or individual name)
*
Layout (copy)
Mailing Address
City
State
Zip
Upload Your Picture ID
Click or drag a file to this area to upload.
Date
Signature
Clear Signature
Submit
