Dugger's Abandoned Vehicles
REQUEST FOR REMOVAL OF VEHICLE
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This form authorizes DUGGER’S Towing to remove the illegally parked and/or abandoned vehicle
Listed below.
ONLY ONE VEHICLE PER FORM. PLEASE PRINT.
ALL SPACES MUST BE FILLED IN.
Address of Business/Complex _____________________________________________
_____________________________________________
Name ofBusiness/Complex _____________________________________________
Name of Business/Complex Owner _____________________________________________
Location of Vehicle on property _____________________________________________
Phone number_____________________________
Fax number_______________________________
Reason for removal____________________________
____________________________________________
Date removal requested_____________
Make of vehicle_____________
Model of vehicle______________________________
Color_______________
License plate or VIN number ___________________________________________
Is there any visible damage? If so, what type? ____________________________________________
Does vehicle have all tires & wheels? ___________________________________________
How long has the vehicle been illegally parked? _______________________________________
First & Last name of person authorizing the tow _____________________________________________
Title of person authorizing the tow _____________________________________________
Signature of person authorizing the tow _____________________________________________
FOR DRIVERS USE ONLY:
Date completed______________
Time completed_____________ Ticket #__________