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Accessory Condition and Declaration Form COM

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INTERNATIONAL AUTO LOGISTICS ACCESSORY
CONDITION AND DECLARATION FORM
INTERNATIONAL AUTO LOGISTICS
1 JOE FRANK HARRIS BOULEVARD
BRUNSWICK, GA 31523 USA
JOSH YAWHSU LABYA
Name of vehicle owner: ___________________________________
1C4JJXP61MW728000
JEEP
Vehicle Make: ___________________________________________
VIN: ________________________________
SAHARA UNLIMITED 4XE
Model: _________________________________________________
2021
Year: _______________________________
I confirm that I have advised the agent of the location and condition of all accessories, items, and equipment being
shipped with this vehicle in accordance with the regulations for allowable items.
I understand that a vehicle cannot be accepted for shipment if it is not in proper running condition, or if it is has
fluid leaks or mechanical problems, discoverable by reasonable external inspection. I acknowledge that
INTERNATIONAL AUTO LOGISTICS or their Sub-Contractor representatives shall not be liable for any mechanical
defects or problems occurring due to normal wear and tear, factory-defects, or product recalls. For vehicles which
have an alarm or security systems – please note below the location, special codes, or any other INSTRUCTIONS
needed to start your vehicle. Any other details or hidden flaws out of the ordinary regarding the ignition, door
locks, etc., which are needed in the transport of your vehicle, are to be noted below.
It is your responsibility and duty to identify any known fluid leaks, mechanical problems and/or deficiencies which
can affect the safe transportation of your vehicle. It is also your responsibility and duty to inform the contractor of
the location of all permanently installed factory or aftermarket accessories.
I confirm that the below instructions are complete and accurate in the starting of my vehicle.
(Please enter NONE if applicable) If more space is needed please use the reverse.
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
JOSH YAWHSU LABYA
27FEB2023
Signature of Customer: _______________________________________________
Date: ______________________
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