Form CDTS-69 Agreement Between Parties for Use of Vehicles by Commercial Driving School - Illinois

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AGREEMENT BETWEEN PARTIES FOR USE OF VEHICLES
BY COMMERCIAL DRIVING SCHOOL
(Please print or type)
Year
Make
VIN Number
Vehicle:
Name
Driver License Number
Owner/Lessor:
City
State
ZIP
Street Address
Name of Commercial Driving School
School/Lessee:
City
State
ZIP
Street Address
The undersigned owner and school certify:
• That the vehicle bearing the above VIN number is the subject of an agreement
between the undersigned owner and school.
• That the vehicle bearing the above VIN number is owned/registered by the person
named above and that an Illinois certificate of title has been issued in the owner's
name.
• That under the provisions of the agreement, the Secretary of State is authorized
to verify that the vehicle bearing the above VIN number is registered in the name
of the undersigned party.
I, __________________________________ , hereby affirm under penalty of perjury pursuant
(Owner/Registered Name)
to Section 1-109 of the Illinois Code of Civil Procedure that the commercial driving school
noted above has my permission by means of this agreement to use the above-noted vehicle in
the commercial driving school fleet of vehicles and that, as part of this agreement, the commercial
driving school shall insure the above-noted vehicle for use in instruction of students of the
commercial driving school.
Dated this ____________ day of ______________ , 19 _____ .
_______________________________________
Signature of Owner/Lessor
_______________________________________
Signature of School Official/Lessee
Subscribed and sworn to before me this _______________ day of ___________ , 19 _____ .
Notary Seal:
________________________________________
(Notary Public)
________________________________________
Notary's Address
CDTS-69
AGREEMENT BETWEEN PARTIES FOR USE OF VEHICLES
BY COMMERCIAL DRIVING SCHOOL
(Please print or type)
Year
Make
VIN Number
Vehicle:
Name
Driver License Number
Owner/Lessor:
City
State
ZIP
Street Address
Name of Commercial Driving School
School/Lessee:
City
State
ZIP
Street Address
The undersigned owner and school certify:
• That the vehicle bearing the above VIN number is the subject of an agreement
between the undersigned owner and school.
• That the vehicle bearing the above VIN number is owned/registered by the person
named above and that an Illinois certificate of title has been issued in the owner's
name.
• That under the provisions of the agreement, the Secretary of State is authorized
to verify that the vehicle bearing the above VIN number is registered in the name
of the undersigned party.
I, __________________________________ , hereby affirm under penalty of perjury pursuant
(Owner/Registered Name)
to Section 1-109 of the Illinois Code of Civil Procedure that the commercial driving school
noted above has my permission by means of this agreement to use the above-noted vehicle in
the commercial driving school fleet of vehicles and that, as part of this agreement, the commercial
driving school shall insure the above-noted vehicle for use in instruction of students of the
commercial driving school.
Dated this ____________ day of ______________ , 19 _____ .
_______________________________________
Signature of Owner/Lessor
_______________________________________
Signature of School Official/Lessee
Subscribed and sworn to before me this _______________ day of ___________ , 19 _____ .
Notary Seal:
________________________________________
(Notary Public)
________________________________________
Notary's Address
CDTS-69

Download Form CDTS-69 Agreement Between Parties for Use of Vehicles by Commercial Driving School - Illinois

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