I a natural person ("Renter") residing at address:
is renting this vehicle with car plate: from Jim Farooquee for a period of 1 week with $ 150 rent plus $ 100 deposit or a daily rate of $29 per day or late hours at $5 per hours.
If I am late after 24 hours of no Contact when the car is due to return Jim has the right to report the vehicle stolen and I am responsible to pay recovery costs of up to $1,000.00.
I am responsible for paying for all tickets, parking or toll charges and I promise to provide Insurance for the car and tickets and or any damage to the car is my responsibility.
I certify that the following information about me is true:
Phone:
Email:
SS Number:
Driving License:
Vin Number:
Registration Date:
Insurance Company:
Date Start:
Date End:
References who will always know where i am and give warranty of my responsible person.
Reference 1:
Reference 2:
Reference 3:
Insurance picture 1:
Car Front 2:
Car Back 3: *custom-3]
Car Right 4:
Car Left picture 5:
Dash board 6 : [file * custom-6]
Driver license 7 : [file * custom-7]
Any Issue 8 : [file * custom-8]
Dash 9 : [file * custom-9]
Dash 10 : [file * custom-10]