Authorization to Move Vehicle - Formstack

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Authorization to move vehicle

This document is requested in order to grant permission to our member to have his/her vehicle that is currently financed with Liberty Federal Credit Union transported/shipped to another domestic or overseas location. Please note this does not serve as an official change of address notification.

Name*

First Name

Last Name

Phone*

Email*

Loan Number

Vehicle Title State*

Year*

Make*

Model*

Vehicle Identification Number

How would you like to receive confirmation?*

Email Current Address

Please provide information about the location the vehicle will be moved

From this location:

Address (From)*

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

To this location:

Address (To)*

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

Please provide insurance information

Insurance Company*

Agent Name

Agent Phone