Automobile Use Authorization

Owner                         Borrower

Name                                     Name                                  

Address1                                 Address1                              

Address2                                  Address2                               

Address3                                  Address3                               

Country                                  Country                               

Vehicle Description

Make               ____                  Registration no                       

Model                                    VIN                                   

Color                                    Year                                  

Duration of Agreement (From)                     (Through)                     

Borrower agrees to pay for incidental repairs such as flat tires, etc. The parties
agree that major damage, reimbursement for insurance deductibles, loss of ‘No Claims’
etc. shall be reimbursed as outlined below. Other terms: maximum allowable kilometers
to be driven, operating radius, etc.

                                                                               

                                                                               

                                                                               

                                                                               

The Owner identified above authorizes the borrower to operate this vehicle subject
to any terms agreed to on this document.

Owner's Signature and Date                                                     


The Borrower agrees to operate this vehicle subject to any terms agreed to
 on this document.

Borrower's Signature and Date