Ticket liability form

REHOBOTH AUTO GROUP

8444 Ardwick Ardmore Road, Landover MD 20785 and 120 Second street #3 Laurel MD 20707

TICKET LIABILITY ACCEPTANCE FORM

HERBY ACCEPT
THE LIABILITIES OF ALL TICKETS INCURRED ON THIS
RENTED VEHICLE/ RENT TO OWN OR LOANER VEHICLE WITH
TAG NUMBER

WHILE IT IS IN MY/OUR
POSSESSION, AND ALSO AUTHORIZE FOCUS AUTO RENTALS
TO CHARGE ME OR MY CREDIT/DEBIT CARD TO PAY THE FINE
AND SEND ME MOTIFICATIONS CONTAINING DETAILS OF
VIOLATION AS SENT BT THE ISSUING AUTHORITIES.