Authorization for use of a vehicle

I certify that I am the registered owner of the following vehicle:

2007 Dodge Colt License Plate Number: ALN-6364, registered in the State of New York This vehicle is insured by Independent Insurance Company under policy number 000-0000-0000-00

I hereby grant my authorization and consent for the person listed below for the use of this vehicle as stated in this letter.

From March 7, 2009 to March 10, 2009
With the following restrictions: daytime driving only

Vehicle Owner
Name: Morgan Freed
Address: 6 Lincoln Road
                Hometown WI
Phone: 000-000-0000

Authorized Borrower
Name: Meagan Freed
Address: 6 Lincoln Road
                Hometown WI
Phone: 000-000-0000

Owners Signature:
Printed Name:
Date: