Priority Towing 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 Name Last Name
Vehicle Make *
Vehicle Year *
Vehicle Model *
Vehicle VIN or Plate # *
Appointed Acting Power of Attorney

First Name Last Name
Signature

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Date *

Month Day Year
Date
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3rd Party Vehicle Release Form