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Please remember we will need your title and key(s) at the time of pick up.
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If you have questions please contact Daniel at (612)-695-2730
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| 4. |
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Street address (including apt. #) city, state and zip |
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| 5. |
| * |
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Please list phone number(s) that we are able to reach you at: (home, cell, work) |
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Please include as much information about vehicle as possible:
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| 13. |
| Please list any known major problems with vehicle (motor, transmission, flat tires...) |
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| 15. |
| If No, do you have a lien release card? |
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| 16. |
| Any other additional comments (including if your vehicle is at a different place than above, please list the address below) |
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