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Consignor Responsibility: Dealer is responsible for the accuracy of this consignment invoice and your odometer statement. Dealer agrees to indemnify and hold harmless ADESA for any damage, claim or cause of action, including reasonable attorney’s fees and cost incurred by ADESA as a result of any misrepresentation for whatever reason. INTERIOR COLOR EXTERIOR COLOR NAME PHONE NUMBER DATE Salvage Title Frame/Unibody Damage Flood Damage Lemon Law Buyback Broken Odometer Broken Speedometer Detail Wash & Vacuum Wash Yes No TITLE PRESENT Signature Date Consignor Responsibility: Dealer is responsible for the accuracy of this consignment invoice and your odometer statement. Dealer agrees to indemnify and hold harmless ADESA for any damage, claim or cause of action, including reasonable attorney’s fees and cost incurred by ADESA as a result of any misrepresentation for whatever reason. INTERIOR COLOR EXTERIOR COLOR NAME PHONE NUMBER DATE Salvage Title Frame/Unibody Damage Flood Damage Lemon Law Buyback Broken Odometer Broken Speedometer Detail Wash & Vacuum Wash Yes No TITLE PRESENT Signature Date

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Consignor Responsibility: Dealer is responsible for the accuracy of this consignment invoice and your odometer statement. Dealer agrees to indemnify and hold harmless ADESA for any damage, claim or cause of action, including reasonable attorney’s fees and cost incurred by ADESA as a result of any misrepresentation for whatever reason.

INTERIOR COLOR EXTERIOR COLOR

NAME PHONE NUMBER

DATE

Salvage TitleFrame/Unibody Damage

Flood DamageLemon Law Buyback

Broken Odometer

Broken Speedometer

DetailWash & Vacuum

Wash

YesNo

TITLE PRESENT

Signature Date

Consignor Responsibility: Dealer is responsible for the accuracy of this consignment invoice and your odometer statement. Dealer agrees to indemnify and hold harmless ADESA for any damage, claim or cause of action, including reasonable attorney’s fees and cost incurred by ADESA as a result of any misrepresentation for whatever reason.

INTERIOR COLOR EXTERIOR COLOR

NAME PHONE NUMBER

DATE

Salvage TitleFrame/Unibody Damage

Flood DamageLemon Law Buyback

Broken Odometer

Broken Speedometer

DetailWash & Vacuum

Wash

YesNo

TITLE PRESENT

Signature Date