|
Douglas Trooper |
Georgia Department of Revenue Motor Vehicle Safety |
Bart L. Graham Commissioner |
THE APPLICANT AGREES TO RELEASE AND HOLD HARMLESS THE STATE
GEORGIA,
THE DEPARTMENT OF MOTOR VEHICLE SAFETY, THE MOTOR VEHICLE INSPECTION
SECTION AND THE INSPECTION STATION FROM ANY AND ALL LIABILITY IN
CONNECTION WITH THE TRANSPORTING OF THE VEHICLE TO AND FROM THE
STATION, TO INCLUDE INCIDENTS SUCH AS BUT NOT LIMITED TO FIRE, THEFT, ETC.
APPLICANT (PRINT)______________________________________STATION:____________________
APPLICANT (SIGNATURE)_____________________________________________________________
VIN#(S)____________________________________ DATE___________________________________
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*IF THE VEHICLE TO BE INSPECTED IS NOT AT THE INSPECTION STATION WHEN
THE PAPERWORK IS TURNED IN, THE VEHICLE WILL BE REJECTED. PAPERWORK
AND VEHICLE MUST ARRIVE AT THE INSPECTION STATION AT THE SAME TIME