Vehicle Release Form

VEHICLE RELEASE FORM

I _______________________, Owner of Vehicle described below:Year _______ Make _____________Model ____________VIN# ___________________________Give ________________________ Authorization to pick up my above mentioned vehicle. If giving Insurance company authorization to pick up vehicle.I am also authorizing Insurance company’s authorized agent.X ______________________ Notary - __________________ ___________ Notary Signature Date__________________Notary Printed Name