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Vehicle handover record template (US)

A general template under US law. Laws differ from state to state, so check it against your state's law or with a lawyer licensed there. We are not a law firm and do not give legal advice.

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Vehicle Handover Record

Date and time of handover: Handover Date and Time

Place: Handover Location

Reason for handover: Reason, such as sale, loan, company car assignment or return

Parties

Delivered by: Delivering Party Name, Delivering Party Address and Phone

Received by: Receiving Party Name, driver's license no. Receiving Party License Number and State

Vehicle

| Item | Details |

| --- | --- |

| Year, make and model | Year, Make and Model |

| Color | Color |

| VIN | VIN |

| License plate and state | Plate and State |

| Odometer reading | Odometer Reading miles |

| Fuel level | Fuel Level |

Condition

| Area | Condition and Damage Noted |

| --- | --- |

| Exterior and body | Exterior Condition |

| Glass and lights | Glass and Lights Condition |

| Tires and spare | Tires Condition |

| Interior and seats | Interior Condition |

| Warning lights on dashboard | Warning Lights or None |

Photos taken: Photos Taken, Yes or No, and Where Stored

Items Handed Over

• Keys and fobs: Number of Keys and Fobs

• Registration card: Yes or No

• Proof of insurance: Yes or No

• Title: Yes or No or Not Applicable

• Other items: Other Items, such as owner's manual, charging cable or child seat

Responsibility

From the handover time above, the receiving party is responsible for the vehicle's use, for traffic and parking tickets, and for tolls, until it is returned or as otherwise agreed in Related Agreement or None. Insurance coverage: Insurance Arrangement.

| Delivered by | Received by |

| --- | --- |

| Signature: Delivering Party Signature | Signature: Receiving Party Signature |

| Name: Delivering Party Printed Name | Name: Receiving Party Printed Name |

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