AZ Impound 3rd Party

3rd Party Vehicle Release Form
I, {name} Attest I am the true and legal registered owner of the described vehicle,{vehicleYear}{vehicleMake}{vehicleModel}{vehicleVin}. I appoint{appointedActing} as my Acting Power of Attorney, and give permission to them to provide documentation of release and to pay all fees owed on the vehicle.
Name

First NameLast Name
Vehicle Make*
Vehicle Year*
Vehicle Model*
Vehicle VIN or Plate #*
Appointed Acting Power of Attorney

First NameLast Name
Signature

Clear
Date*

MonthDayYear
Date
Upload Government Issued ID Photo

Cancelof
Should be Empty:

3rd Party Vehicle Release Form