Vehicle Impound/Abandonment Worksheet

Clare City Police All Abandoned Vehicles In the City of Clare Abandoned Vehicle Worksheet MUST be checked by the Clare City Police PRIOR to being removed from both public and privet Fax: 989-386-0440 property

Clare City Police Complaint #: ______

1. Impounded (completed by Towing Service) Towing Service: ______. Fax #: ______.

A. Date & Time Impounded. Date: ____/____/____. Time: ______. (24 hour).

B. Location: ______. PUBLIC PRIVATE Officer: ______.

C. Was the vehicle file checked? Yes: _____. No: _____. By: ______. (Officer or Dept) D. Was owner present at the time of impound? Yes: _____. No: _____.

E. Was the owner Notified? Yes: _____. No: _____. By: ______.

2. Vehicle (completed by Towing Service) A. Year: ______. Make: ______. Model: ______. VIN: ______.

B. Body Style: ______. Plate #: ______. State: ______. Plate Exp Yr: ______.

C. Color: ______Mileage: ______. Cond of Vehicle: ______.

3. Abandonment (completed by Police Agency) A. Date & time vehicle was entered as abandoned > Date: ____/____/____. Time: ______.

by: ______. Dept: ______. LEIN Ref #: ______.

B. Date & time vehicle was removed as abandoned > Date: ____/____/____. Time: ______.

by: ______. Dept: ______.

4. Release to owner (completed by Towing Service) (Vehicles that have been entered as abandoned are subject to the additional $40 abandonment fee)

A. Date Vehicle Released to Owner > Date: ____/____/____. Time: ______.

B. Had the vehicle previously been entered as abandoned? Yes: ____. No: ____.

C. Was the abandonment fee collected? Yes: ____. No: ____.

5. Disposition (completed by Towing Service or Custodian) (Other than release to the owner)

Abandoned: ____. Scrapped Abandoned: ____.

If this “abandoned” vehicle is claimed to satisfy outstanding If this “scrap abandoned” vehicle is claimed to satisfy expenses, the wrecker service or custodian, must conduct outstanding expenses, the wrecker service must supply the an auction and distribute the proceeds according to MCL police agency with TWO PHOTOGRAPHS and section 257.252g. the wrecker service must supply the DESCRIPTIVE INFORMATION on why the vehicle should police agency with TWO VEHICLE PHOTOGRAPHS AND be scrapped as outlined in MCL 257.252b PURCHASER NAME, ADDRESS AND PHONE NUMBER

6. Date the Vehicle Bill of Sale or Cirt of Scraping was issued to Wrecker Service (completed by Police Agency)

Bill of Sale Certificate Issued Certificate of Scrapping Issued

Date: ____/____/____. Time: ______. By: ______. Dept: ______.