MM slash DD slash YYYY
In consideration of services rendered, I agree to hold harmless and defend Elite Auto Center of Gainesville, Inc., its agents and employees from any and all claims or complaints regarding damage to or the condition of the above described vehicle. I agree to pay witness fees of $__ per hour for any court appearances required of any employee of Elite Auto Center of Gainesville, Inc., regarding any claim for the condition of, damage to, or the release of this vehicle. Upon default in the payment of these fees, I agree to pay all collection, processing, attorney, and court charges and the maximum rate of interest allowed by law, from the date of default if collection action is taken against me. I certify that I have the legal right to and acknowledge receipt of all items of personal property in above described vehicle. Any items of personal property to which I am not entitled have been listed here and turned over to Elite Auto Center of Gainesville, Inc. for proper disposition.

Max. file size: 64 MB.
Printed Name(Required)
MM slash DD slash YYYY
MM slash DD slash YYYY
Name of insurance co., salvage co., towing co., etc

Step 2

Download, Fill, and Send back

Call Now ButtonCALL (352) 372-6340 Skip to content