Abandoned Vehicle

Business Name

Contact Person *

First

Last

Email *

Address Where The Vehicle Is Stored. *

Address Line 1

Address Line 2

City

State

Zip Code

Mailing Address (if Different)

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Fax

What are your Business Hours?

Individuals - Please Enter Best Time to Call, Days and Hours.

Are you a Designated Agent? Alabama Dealer, Non-Dealer, Financial Institution, Insurance Company *

Yes
No

No, I understand, the buyer of this Abandoned Vehicle will need to post a Surety Title Bond to obtain a title when sold.‎

Date you acquired the vehicle: *

Vehicle's Year, Make & Model: *

Vehicle Identification Number (VIN): *

Does the Vehicle Have a Tag? If so, please name the State and Tag Number: *

If no tag, type None

Vehicle Color *

Reason vehicle is unclaimed: (Please Select The Appropriate Reason)

Has The Vehicle Been Reported Unclaimed/Abandoned To The State? *

Yes
No

If Yes, Enter Report Code.

Report Code Is Case Sensitive (Upper & Lower Case)

Amount of Repairs: *

Amount of Towing: *

Storage Rate Per Day: *

Name of your local newspaper: *

Name of Your County: *

I declare all information submitted is: *

I declare all information submitted is: Correct to the best of my knowledge and I have the vehicle in my possession‎

Legal disclaimer *

(Check the Box) I have read the legal disclaimer, I understand and agree‎

I assert that this vehicle was obtained in a manner consistent with 32-13 Code of Alabama, as an unclaimed vehicle. I agree to indemnify and to hold harmless Jason Steward Enterprises, Inc as well as its principals and employees, in any legal matter relating to this vehicle, and I will assume any legal expenses. My signature (ink, digital or verbally) below gives Jason Steward Enterprises, Inc as well as its principals and employees to act on my behalf in the preparation of abandoned motor vehicle documentation and to do all procedures outlined by the State of Alabama – Section 32-13, I understand, I am required to negotiate with owner's & lien holders of the unclaimed / abandoned vehicle on any fees I have in the vehicle. Negotiations will not be the between Jason Steward Enterprises Inc, its principals or employees. I will be responsible for the sale of the abandoned vehicle. I acknowledge, Jason Steward Enterprises Inc (JSE Inc) reserves the right to cancel this order if I fail to comply with State laws.

Please Upload Your Work Order, Invoice or Tow Ticket.

Click or drag a file to this area to upload.

Please Upload A Copy Of Your Business License.

Click or drag a file to this area to upload.

Business License is required for Business Entities, Individuals Upload Your Drivers License. (If we have a copy on file, you may skip this).

Please select the appropriate amount to pay.

1 Abandoned Vehicle - $150.00
2 or More Abandoned Vehicles - $125.00 each
10 or More Abandoned Vehicles - $100.00 each

If you are ordering multiple vehicles, you will need to pay for each vehicle separately upon each submission.

Total

$ 0.00

Payment Information *

Card

Name on Card

Signature *

Sign with your finger or mouse.