Vehicle Title Verification Form

Vehicle Title Verification Form

This Vehicle Title Verification Form documents the verification of title-related records and represents the agreement between the parties set forth below.

Parties

Requestor Name:

Verifier Name:

Recitals

WHEREAS, Requestor requires an independent verification of the vehicle title records and related documentation for the vehicle identified below; and

WHEREAS, Verifier represents that it has the capability and authority to examine title certificates, recorded liens, odometer statements, and other source documents and to produce a written verification report; and

WHEREAS, the parties desire to set forth the scope, terms of payment, confidentiality and governing law applicable to the verification services to be performed.

Vehicle Details

as of (date):

Title Issuing State:    Title Issue Date:

Title Brand(s) observed: Salvage Flood Rebuilt Other:

Lien and Encumbrance

Lien Status: No liens recorded One or more liens recorded

Lien release provided: Yes No    If provided, release date:

Documents Reviewed

Documents examined (check all that apply): Title certificate Bill of sale Odometer disclosure statement Power of attorney Other:

Scope of Work

Verifier will perform the following services: examine title certificate(s), recorded lien instruments, odometer disclosures, and any supporting documents provided by Requestor or obtained from official records; compare vehicle identifiers, issue a written verification report stating the presence or absence of recorded liens and title brands, and attach copies or references to the source documents relied upon.

Payment Terms

Verification Fee: $    Payment schedule:

Late Payment: Amounts unpaid within days after invoice shall incur a late fee of of the overdue balance, and interest at the lesser of 1.5% per month or the maximum lawful rate.

Expenses: Requestor will reimburse reasonable out-of-pocket costs incurred by Verifier (search fees, certified copies, courier charges) with documentation.

Term and Termination

Term Commencement Date:    Term Expiration Date:

Either party may terminate this Agreement for convenience upon days' prior written notice. Termination for material breach is effective upon written notice if the breaching party fails to cure within days after receipt of notice.

Confidentiality

Each party shall maintain as confidential all non-public information disclosed in connection with the verification services, including copies of title documents, lien records, and personal identifiers. Confidential information shall not be disclosed except (a) to employees or agents on a need-to-know basis, (b) pursuant to lawfully issued process, or (c) with the disclosing party's prior written consent. This obligation survives termination for a period of two years.

Representations, Limitations and Indemnity

Verifier represents that it will exercise reasonable professional care in examining available records. Verifier does not guarantee absolute completeness of public records or documents not provided by Requestor. Requestor represents that all materials provided to Verifier are true and accurate to the best of Requestor's knowledge. Requestor shall indemnify and hold harmless Verifier from claims arising from inaccurate or forged source documents supplied by Requestor, except to the extent caused by Verifier's gross negligence or willful misconduct.

Governing Law

This Agreement shall be governed by and construed in accordance with the laws of the state of , without regard to conflict of law principles.

Entire Agreement

This document, together with any written attachments and invoices referenced herein, constitutes the entire agreement between the parties concerning the subject matter and supersedes all prior proposals, communications and agreements, whether written or oral. Any amendment must be in writing and signed by both parties.

Certification

By signing below, Verifier certifies that the verification report attached to or incorporated by reference in this form reflects Verifier's good faith review of the documents and records available at the time of the examination. This certification is limited to factual findings and does not constitute a legal opinion as to title validity or marketability.

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