Eastern Auto Works

Loaner Vehicle Agreement

Lessee Information

1. Vehicle Description

The Lessor agrees to provide the Lessee with the temporary use of the following vehicle ("Loaner Vehicle") while the Lessee's vehicle is under repair at Eastern Auto Works:

6. Driver's License Information

The Lessee must provide the following driver's license and personal information, which will be verified by the Lessor:

7. Lease Out Date

The Loaner Vehicle is leased out to the Lessee on the following date:

Signatures

Lessor: Eastern Auto Works

(Lessor signature will be completed by Eastern Auto Works staff)

Lessee Signature *

Please sign below using your mouse or touch screen

Electronic Signature Acknowledgment: By signing above and typing my name, I acknowledge that this electronic signature is legally binding and has the same legal effect as a handwritten signature. I consent to conduct this transaction electronically.

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