Overdue Rental Car Theft Packet - Lawrenceville Police Department (Page 4 of 4) in pdf

Overdue Rental Car Theft Packet - Lawrenceville Police Department Page 4

State of Georgia

County of Gwinnett

Before me this day personally appeared, _______________________________________________

Who being first duly Sworn, deposes and says:

1. Affiant resides at: _______________________________________________________________

2. Affiant, on ___________________________, 20____, was employed by ___________________

____________________________________________, located at _________________________

_______________________________________________________________________________.

3. On the above date, at the location set forth in paragraph 2, affiant prepared rental

contract number: ____________________________________________ for ________________.

4. At that time, the Affiant examined the renter’s picture identification, compared the

photograph on the picture identification with the face of the renter, and was satisfied that the

photograph on the picture identification was that of the renter, whose name was the same as

that on the picture identification.

5. The Affiant inspected the picture identification of the person to whom the vehicle was rented,

and compared and verified the signature thereon with the signature of the renter on the

rental agreement made in their presence.

__________________________________

(Signature of Rental Agent)

Sworn to and subscribed

Before me this _________ Day of _________________, 20______.

________________________________________

(Notary Public)

State of Georgia at Large

My commission expires: ___________________________

Overdue Rental Car Theft Packet - Lawrenceville Police Department Page 4