Transcription of Form 4669 - Abandoned Property Report
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Form 4669 - Abandoned Property Report
Form 4669 (Revised 01-2021)Signature of Owner, Lessee, Property or Security Manager Phone Number of Owner, Lessee, Property or Security Manager (___ ___ ___) ___ ___ ___ - ___ ___ ___ ___Printed Name of Owner, Lessee, or Property Security Manager Date of Tow (MM/DD/YYYY) ___ ___ / ___ ___ / ___ ___ ___ ___Location of Abandoned Property to be Towed (Street Address, City, State, and Zip Code)Name and Address of the Abandoned Property or Driver Owner, If KnownName and Address of the Lienholder of the Abandoned Property , If KnownDescriptio
7) Abandoned Property Report (Form 4669) completed by owner, lessee, property or security manager, tow company, and local law enforcement agency. Important: Mileage must be shown on the application for title for vehicles model year 2011 and newer until the vehicle reaches the age of
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