Transfer Form

We authorize this wrecker service to tow or remove the above listed vehicle. I am aware that service to my vehicle may result in damage to the vehicle and agree to indemnify and hold harmless the driver and for this company for such damage

Complaints against this business may be directed to: Texas Department of licensing and regulation

P.O. Box 12157 Austin, TX 78711

Tool Free (in Texas) 800-803-9202

www.tdlr.texas.gov

enforcement@tdlr.texas.gov

ATTENTION CUSTOMERS: You are being notified in accordance to the motor vehicle laws section 70.001-70.000 that your vehicle may be subject to repossession for return checks such as insufficient, stop payment, or stolen checks. This also applies to credit card charge backs or credit card stop payments. You will also be liable for cost of any repossession fes or other incurred expenses.