ALL N.Y. AUCTIONEERS
LIEN INTERVIEW FORM
I
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COMPANY/BUSINESS (NOT LICENSED)
TOW FACILTY LOCATED IN NEW YORK CITY
LICENSED BY DEPT. CONSUMER AFFAIRS
REPAIR SHOP LOCATED IN NEW YROK CITY
REGISTERED WITH DMV MV/61P
REPIAR SHOP + TOW FACILITY IN NYC WITH
BOTH LICENSES DESCRIBED ABOVE
REPAIR SHOP LOCATED OUTSIDE NEW YORK
CITY REGISTERED WITH DMV MV/61P
PARKING/STORAGE FACILITY LICENSED
DEPARTMENT OF CONSUMER AFFAIRS
VIN OR HULL#
YEAR
MAKE
MODEL
PLATE#
POLICE AUTHORIZED TOWING OF THE VEHICLE
OWNER SIGNED FOR THE TOW
OWNER VERBALLY AUTHORIZED THE TOW
OWNER BROUGHT IN THE VEHICLE FOR REPAIRS
OWNER BROUGHT IN VEHICLE: Daily/Monthly Parking
YOU HAD A MONTHLY RENTAL AGREEMENT
OTHER WAY
BOAT DRY DOCKED ON PROPERTY
HOW DID YOU ACQUIRE THE VEHICLE
WHEN DID YOU ACQUIRE THE VEHICLE
AUTOMOBILE
MOTORCYCLE
TRACTOR/TRAILER
MOBILE HOME
ATV
TRUCK
WATER CRAFT
WHAT IS THE TYPE OF VEHICLE
NAME OF VEHILCE OWNER(s)
ADDRESS OF VEHICLE OWNER
OWNER NOTIFIED BY CERTIFIED MAIL
PRIVATE INDIVIDUAL PROPERTY OWNER
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DATE OWNER NOTIFIED
OWNER NOT NOTIFIED
TOW AMOUNT $
YARD$
LIEN FEE$
DATE REPAIRS DONE
NY
CT
NJ
PA
STATE TITLED
STORAGE STARTS
DAILY RATE$
OR
MONTHLY RATE$
REPAIR $
STORAGE ENDS
COMMENTS
EMAIL
718-767-1400
Our E-Mail Address:
pete_allny@yahoo.com
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