Yota Ranch Grant Form

Name *

Cell Phone *

Email Address *

Zip Code

Vehicle Year/Make/Model *

Mileage *

VIN # *

License Plate # *

I grant Yota Ranch and/or its employees explicit permission to operate the vehicle described herein for testing and/or inspections. I acknowledge the existence of an express mechanic’s lien on the vehicle to secure the cost of repairs. Payment is due upon completion. Yota Ranch is not liable for any loss or damage to the vehicle or its contents. A diagnostic fee totaling $125.00 will be levied for the services rendered.

I affirm that I have thoroughly read and comprehend the above terms.

Customer Signature *

Date *

Vehicle Concerns

Yota Ranch Grant Form

Thank You!