IMPOUNDED VEHICLE OR PROPERTY RELEASE AUTHORIZATION
Registered Owners Name
*
First Name
Last Name
Registered Owners Phone Number
*
Please enter a valid phone number.
Registered Owners Email
example@example.com
I verify that I am the legal/registered owner of the following vehicle
Make of Vehicle
*
Model of Vehicle
*
Color of Vehicle
*
Year of Vehicle
VIN Number
*
Tag Number - Include State
PLEASE COMPLETE THE FOLLOWING REGARDING THE INDIVIDUAL PICKING UP THE VEHICLE OR PERSONAL PROPERTY. THE INDIVIDUAL LISTED BELOW, WILL BE REQUIRED TO SHOW GOVERNMENT ISSUED PHOTO I.D. AT THE TIME OF PICKUP.
Full Name on Drivers License
*
First Name
Middle Name
Last Name
Drivers License Number
*
Drivers License State
*
Drivers License Expiration Date
*
-
Month
-
Day
Year
Date
REGISTERED OWNERS DRIVERS LICENSE
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
DRIVERS LICENSE FOR INDIVIDUAL AUTHORIZED TO PICK UP VEHICLE/PERSONAL PROPERTY
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: