WILLARD WRECKER SERVICE

719 SHADBURN AVE
BUFORD, GA  30518 

2451 PLEASANTDALE RD

DORAVILLE, GA  30340

AUTHORIZATION FOR RELEASE OF VEHICLE AND/OR PROPERTY


I, _________________________________________________________,

                       (OWNER’S PRINTED NAME AS IT APPEARS ON OWNERSHIP PAPERS)

GIVE WILLARD WRECKER SERVICE, INC. Located at:

719 SHADBURN AVE, BUFORD GA or 2451 PLEASANTDALE RD, DORAVILLE, GA
Permission to release my vehicle:

 

________________, _____________________________________WITH VEHICLE

           (YEAR)                                                    (MAKE AND MODEL)

 

IDENTIFICATION NUMBER _______________________________________________TO

                                                                                  (VIN)

________________________________________________________________
     (PRINT PERSON’S NAME, [AS IT APPEARS ON STATE ID OR INSURANCE], TO WHOM THE VEHICLE IS TO BE RELEASED)



___________________________________________________               

                                    (OWNER’S SIGNATURE)

State of ________________________________________

 

County of ______________________________________

 

SWORN TO AND SUBSCRIBED BEFORE ME THIS_______

DAY OF_________________________, 20_________BY

 

______________________________________________

                      (NAME OF SIGNER-OWNER)      

 

 

__________Personally Known

                       -----OR----

__________Produced Identification

                     
Type and # of ID_________________________________


_______________________________________________________

                              (Notary Public Signature)

COPY OF IDENTIFICATION (OWNERS AND PERSON PICKING UP VEHICLE OR PROPERTY)

 

We ac cept the following:

 

1         Drivers License, Not Expired, issued by a form of U.S Government with your name.

2         Identification card, Not Expired, issued by a form of U.S Government printed with your name.

3         Ticket/Citation issued by a form of U.S Government printed with your name & issued less than 45 days ago.

4         Military Identification card issued by the U.S Government printed with your name.

5         Passport issued by the U.S Government & printed with your name, Not Expired.

_______________________________________________________

           (Name of Notary Type, Stamped, or Printed & Seal)


***** Please complete form, get notarized and (make sure expiration date of notary is imprinted in seal or send notary certificate), notary seal MUST be legible and bring original to the office.***** (copies not accepted)


THANK YOU FOR YOUR COOPERATION!!!

WILLARD WRECKER SERVICE, INC.