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Owner'S Authorization To Release Property To Agent/representative - Seattle Police Department

Seattle Police Department

OWNER’S AUTHORIZATION TO RELEASE PROPERTY

TO AGENT/REPRESENTATIVE

I, ______________________________________________________________hereby authorize:

PRINT YOUR NAME (First, Middle, Last)

______________________________________________________________________________

PRINT AGENT/REPRESENTATIVE’S NAME (First, Middle, Last)

__________________________________________

AGENT/REPRESENATIVE’S (Date of Birth)

To obtain my property for case (GO#) _______________________________________________

______________________________________________________________________________

(Signed)____________________________________________ (Date) _____________________

State of Washington

County of ___________________________

I certify that I know or have satisfactory evidence that ___________________________________ is the

person who appeared before me, and said person acknowledges that (he/she) signed this instrument

and acknowledged it to be (his/her) free and voluntary act for the uses and purposes mentioned in the

instrument. Dated: ________________________

(Signed) ______________________________________________________________________________

Notary Public in and for the State of Washington

Commission expires: __________/__________/__________

Residing at: ________________________________________

Please note: The Representative/Agent must have this notarized document and photo identification to

pick up your released items. Thank you.

Rev Oct 2016

Owner'S Authorization To Release Property To Agent/representative - Seattle Police Department