CARNAGHI PRIVATE PROPERTY REMOVAL REQUEST

CARNAGHI TOWING AND REPAIR
LETTER OF AUTHORIZATION
PRIVATE PROPERTY AUTHORIZATON
DATE

MonthDayYear
Date
Name

First NameLast Name
Address (VEHICLE LOCATION)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
YEAR
MAKEMODEL
BODY STYLE
COLOR OF VEHICLE
VEHICLE IDENTIFCATION NUMBERLICENSE
VEHICLE IDENTIFCATION NUMBER
LICENSE PLATE
YEAR OF PLATE REGISTRATION
STATE
HOW LONG HAS THE VEHICLE BEEN ON THE PROPERTY? (IN DAYS)
I, as the owner, lessor, or renter of the property, authorize Carnaghi Towing & Repair, Inc. to remove the described vehicle from my premises. I acknowledge that the vehicle has been abandoned on my property without my consent or authorization, and I agree to its removal. I can be contacted at the phone number I have provided.
Signature of Authorization

Clear
Take Photo (NOT REQUIRED)
Should be Empty:

CARNAGHI TOWING AND REPAIR