615 741 3101-2026

1. Click ‘Get Form’ to open the document in the editor.
2. In Part A, enter your company name, telephone number, fax number, and email address. Ensure all contact information is accurate for effective communication.
3. Fill in the applicant's name and address details, including city, state, and zip code. This information is crucial for processing your request.
4. Indicate the date storage began and provide vehicle details such as year, make, model, vehicle identification number (VIN), license plate number, and state of issue. Attach any required documentation like the Law Enforcement Towing Form if applicable.
5. Sign and date the form to certify that all provided information is true and correct. This step is essential for legal compliance.
6. If applicable, complete Part B on the reverse side for vehicles stored over thirty days. Include similar vehicle details and ensure timely submission to avoid penalties.

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