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Form 4576 - Abandoned Property Affidavit

address of the owner on the impound report. Under penalties of perjury, I declare that the above information and any attached supplement is true, complete, and correct. Towing Company Name Signature of Tower Date (MM/DD/YYYY)

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  4576, Impound

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Transcription of Form 4576 - Abandoned Property Affidavit

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