Sample Form for Car Rental and Lease

before the above indicated due back date and time. There will be additional fees due if the
vehicle is not returned as specified above. Where it is permitted by law the Car Renter hereby
authorizes us to process their credit card information in their name for all Car Rental charges,
including the full vehicle value of any vehicle that is not returned to the Car Rental Company, all
fines, towing, any court costs, penalties, and or administrative fees that we may incur for
parking, traffic and or other violations that may be incurred by the Car Renter during the Car
Rental term period as stated above and to apply any payments made to the charges in
whatever order that the Car Rental Company sees as necessary. By signing below Car Renter is
also signing their Car Rental credit card voucher.
______________________________________________________________________________
Car Renter Date
______________________________________________________________________________
Additional Car Renter Date
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Sample Form for Car Rental and Lease PDF

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