Car Rental Reservation Affidavit
Car Rental Reservation Affidavit
Affiant:
Name: [Your Name]
Address: [Your Address]
Phone Number: [Your Phone Number]
Email: [Your Email]
Car Rental Company:
Name: [Your Company Name]
Address: [Your Company Address]
Phone Number: [Your Company Number]
Email: [Your Company Email]
Affidavit Statement
I, [Your Name], hereby declare under penalty of perjury, under the laws of the United States, that the following statements are true and correct to the best of my knowledge and belief.
Reservation Details
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Reservation Number: |
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Rental Period: |
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Vehicle Type: |
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Pickup Location: |
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Drop-off Location: |
Driver Information
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Driver’s License Number: |
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State of Issuance: |
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Expiration Date: |
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Date of Birth: |
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Drop-off Location: |
Payment Information
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Credit Card Type: |
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Credit Card Number: |
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Expiration Date: |
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Cardholder’s Name: |
Insurance Coverage
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Insurance Provider: |
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Policy Number: |
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Coverage Type: |
Terms and Conditions Acknowledgment
I acknowledge that I have read and agree to the [Your Company Name] car rental terms and conditions, including but not limited to the rental agreement, insurance policies, and any additional charges that may apply.
I understand that I am responsible for any damages to the vehicle during the rental period.
I agree to return the vehicle on or before the agreed return date and time.
Authorization and Consent
I authorize [Your Company Name] to charge my credit card for all rental charges, including any additional fees that may be incurred during the rental period.
I consent to the collection, use, and disclosure of my personal information as described in [Your Company Name]'s Privacy Policy.
Signature
By signing below, I affirm that the information provided in this affidavit is true and correct, and I understand and agree to the terms and conditions of the car rental reservation.
[Your Name]
[Month Day, Year]
Notary Public
State of [State]
County of [County]
Subscribed and sworn to (or affirmed) before me on this [Day] day of [Month], [Year], by [Your Name], proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me.
(Notary Public)
My Commission Expires: [Month Day, Year]
