DIY Legal Forms

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Truck Rental Agreement

R.A.

Unit_______

Make of Car:

Color:

Year;

Tag:

Date Out:

Time Out:

Date Due In:

Date In:

Time In:

Extra Hours:

Driver's:

Lic. __________

State ________

Expiration _______

Birth date ______

Driver's Name:

Home Phone:

Home Address:

Rate per day:

Local Address:

Rate per week:

Credit Card:

[ ] Master Charge [ ] Diner's Club [ ] Amex [ ] Visa [ ] Carte Blanche

Mileage Charge:

Mileage In:

Number:

Expiration:

Mileage Out:

Employed by:

Phone:

Mileage Driven:

Address:

Rental Charge:

Renter's Insurance Co.

Mileage Charge:

Renter's Policy:

Collision:

Second Car:

Date:

Tag:

P.A.I. Coverage:

Make:

Color:

Year:

Other Charges:

Reason for Exchange:

Sales Tax:

CUSTOMERS ARE RESPONSIBLE FOR ALL TRAFFIC VIOLATIONS

Deposit:

Gas in car when rented: [ ] 1/4 [ ] 1/2 [ ] 3/4 [ ] Full

By his initial, Renter [ ] accepts [ ] declines

Balance Due {$------].

Personal accident insurance (PAI) at [$------] per day. Acceptance is proof of coverage. Refund under policy issued as outlined in separate synopsis.

Cash

Personal / Bank Check

Credit Card

Accepted [ ].

Declined [ ].

[ ] This contract covered with COLLISION DAMAGE WAIVER for which I agree to pay an additional charge of [$------] per day. In event any of the terms of this rental contract are violated, this clause shall be null and void, and the Lessee shall be liable to the Company for all damages to the vehicle.

By [Signature].

[ ] I do not want COLLISION DAMAGE WAIVER and accept full responsibility for all damage to rented car up to [$------]. In the event any of the terms of this rental contract are violated, this clause shall be null and void, and the Lessee shall be liable to the Company for all damages to the vehicle.

By [Signature]

Rented by [Name]

Recommended by [Name]

Continuation of 5054

LESSEE PAYS FOR PETROL/DIESEL

The vehicle desribed above shall not be operated by any other person than the Lessee who signed the rental agreement or his employer or by persons regularly employed by such Lessee in the usual course of his business or an adult member of his immediate family at least [--] years of age.

The Lessee is responsible for theft of car unless keys are removed and doors locked.

I HAVE READ BOTH FRONT AND REVERSE SIDES OF THIS CONTRACT AND AGREE TO ALL OF THE TERMS.

Signed (Lessee)