Towing Liens for multiple vehicles
1.
DOP
mm/dd/yy
VIN / Hull / Eng Number
Lic/CF No
Lic
St
Year
Make
Model
Tow Chg
Stg
PerDay
Motorcycles and ATVs - Please use the next line to enter the engine numbers. WE cannot process a lien without engine #s
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15.
Date
Signature
Printed/Typed
X
I certify under penalty of perjury under the laws of the State of California, that the information I have provided is true and correct.
To Fax, Print (Ctl+P) This Page And Fax To 510-799-1456
Thank You Very Much for the order!! The ASAP Team
<---Click here to Submit This Order and Start a New Order.
Be Sure To Print A Copy For Your Records!!
If you know your ASAP Acct #, Enter it as the Company Name and proceed to the 1st vehivle Information.
Company Name
Mailing Address
Storage Address
Fax
Zip
Zip
Phone
City
City
Please do not use this form for agency/police disposal liens under $500. value, nor any Long Liens.
By clicking the "Submit" button below or print, and faxing or emailing, you confirm that you have read and agree to the terms and conditions set forth above.
Police
Tow
Fax To 510-799-1456
PLEASE USE ALL CAPS
16.
When you submit this form to ASAP Lien Sales, Signed Or Not, It Is A Binding Contract. This form authorizes a lien to be processed by ASAP Lien Sales with the information you provide, and that you will hold ASAP Lien Sales harmless from any lawsuits, judgments, omissions or errors of any kind and under any circumstances. ASAP Lien Sales Is Providing A Secretarial Service To You And Will Be Liable For The Cost Of The Lien Sale Processing Only.
Over/Under
