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Company Name: ________________________________________ ______________ Address: ________________________________________ _________ hold Harmless Lien holder / Legal Owner: ______________________________ Account Number: ___________________________ Customer / Debtor: ____________________________________ Vehicle Description: Year: _______ Make: _____________ Model: _____________________ VIN: __________________________ License Tag#: ___________________ TO: ________________________________________ ______________________________ This letter will serve to confirm that ____________________________________ is the legal owner of the record of the above referenced vehicle. It is our intention to retrieve the vehicle from your facility on the basis of an involuntary repossession. We hereby give permission to Action Auto Recovery - RA 641 and their authorized recovery agent: ____________________ to submit whatever documents and pay what ever fees are necessary on our behalf to obtain the release of the vehicle from impound and take possession of the vehicle.

Hold Harmless . Most Impound vehicles require two Hold Harmless. One for the impounding police agency (police department) and one for the impounding agency (tow yard): ___ Once you complete the form above to the tow yard and print, just scroll up and change the “To:” filed to the police department and print. This will help from re-

  Hold, Hold harmless, Harmless