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Personal Property Release


                  Date:

                  Case #:

                  Date of Repossession:

                  To:


                  Legal Owner:

                  Collateral Description:

                                 VIN #:


                  Personal Property Inventory List:

                                                 “SEE ATTACHED FORM”

                  By signing this receipt, I do certify that I have received all personal property that was  located
                  in or on the vehicle at the time of the repossession.

                  I also do hereby release                                                               and
                  all principals and employees from any claims, demands and rights of action arising out of said
                  repossession and I understand that said repossession was authorized by the legal owner.



                  Signature                                                               Date

                  Witness:

                  Identification used:   Dr. Lic. No.:

                                               State:                              Expires:

                  D Other ID; Type:



                  Witness by                                                       Date

                  D Property Not Claimed
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