K C Cars

Vehicle Surrender Declaration

I give permission for KC Cars to take
my vehicle listed below to a licenced
Authorised Treatment Facility for
disposal on my behalf and I am the current
registered owner of the vehicle with DVLA.

vehicle details:

Make
Model
Colour
Reg No
your details:
Name
Address
	I declare that all the details above are correct to the best of my knowledge.
Print name
Signed