VSF Form

Personal vehicle owner removal and/or inspection of a motor vehicle at a vehicle storage facility

When a vehicle owner or the owner’s authorized representative presents this form filled out, presents payment, and presents

a valid state or federally issued ID, the vehicle storage facility must release the vehicle.

Vehicle information for the vehicle stored at the VSF

Vehicle Year

Make

Model

License Plate Number

Vin Number

Person removing/inspecting the vehicle or removing property from the vehicle

First name

Last name

Company Name (if a representative of a company) or Relationship to Vehicle Owner:

Type of State or Federally Issued ID and ID Number used to Release the Vehicle or Property:

Type of ID

ID Number

Owner or owner's authorized representative certification

On this date appeared:

Month

Day

Year

Who Upon oath declared that:

I am the owner of the vehicle who is authorized to remove or inspect the motor vehicle above.

I am authorized by the owner to remove or inspect the motor vehicle described above.

The authority granted herein is limited to: (i) inspecting the described vehicle; (ii) removing property from the described vehicle; (iii) making payment to and removing the described vehicle from a vehicle storage facility:

Date

Month

Day

Year

Signature

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