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Attn: Salvage
Department, PO BOX
13528 Macon, GA 3120…
3528
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Uploaded by Mario Price on Mar 16, 2018

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Copyright ___________________________________________

© © All Rights Reserved GEICO Choi ce Insur ance Company

___________________________________________

Available Formats
Attn: Salvage Department, PO BOX 13528
Macon, GA 31208-3528

PDF, TXT or read online from Scribd

Share this document 11/15/2017

Mr. Mario Price

571 Lexington Ave

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Jackson, TN 38301-6524

%
Company Name:
Claim Number:
Loss Date:
Policyholder:
Geico Choice Insurance Company
051792300-0101-054
Thursday, November 9, 2017
Mario Price
Email
Year and Make:
VIN:
2002 FORD
1FMZU75EX2ZA27001

Dear Mr. Price,

Did youPlease
findread
this document useful?
these instructions prior to completing the paperwork. Failure to follow
instructions may result in a delay in processing your claim.

1. All parties listed on the original title must sign their name (exactly how it appears on
the title first, middle, and last name format.
2. Please be advised that th is f orm i s required to be notarized.
3. Any strikeouts, erasures, or use of “white out” will void documents and/or title.
4. Please return the completed original documents along with all keys/remotes that are
still in your possession to one of the addresses below.

Regular Mailing Address: Overnight (only) Mailing Address:

Is this content inappropriate?
GEICO Salvage Report this
Total Loss Department Document
GEICO Salvage Total Loss Department
Attn: 051792300-0101-054 Attn: 051792300-0101-054
P.O. Box 13528 4400 Ocmulgee East Blvd.
Macon, GA 31208 Macon, GA 31217

If you have any questions, please feel free to contact us at 1-800-691-4312, Monday
through Friday 8am to 9pm EST.

Sincerely,

Elizabeth Powell

EC0242 (02/2015)

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1-800-691-4312
Claims Department

Encl: Power of Attorney

BILL OF SALE - POWER OF ATTORNEY

GEICO INSURANCE

DATE: __________________ CLAIM NO.

051792300-0101-054
BILL OF SALE

KNOW ALL MEN BY THESE PRESENTS, that the undersigned for valuable consideration paid or to be paid does hereby grant,
sell, transfer and deliver unto (grantee) the motor vehicle described below:

Odometer Reading:

Year Make Model Body Type Serial Number

2002 FORD EXPLOR LTD 1FMZU75EX2ZA27001

To have and to hold all and singular the said goods and chattels to said grantee, its successors and assigns. The undersigned
covenants with said grantee that the undersigned is the lawful owner of said goods and chattels, that they are free from all
encumbrances, that the undersigned has a good right to sell the same; that the undersigned will warrant and defend same against
the lawful claims and demands of all persons.

________________________________
_
Seller (sign as your name appears on
title)
________________________________________________________________________________________________________
_
POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS that the undersigned owner(s) ___________________________________________
of the following described motor vehicle, 2002, FORD EXPLOR LTD Serial No. 1FMZU75EX2ZA27001 hereby constitute and
appoint ___________________________of GEICO INSURANCE my (or our) true and lawful Attorney to sign in the name,
place, and stead of, the undersigned any Certificates of Ownership issued by the Division of Motor Vehicles of the State covering
the vehicle described above in whatever manner necessary to transfer any registration of said vehicle as they deem fit and proper.

IN WITNESS WHEREOF, the undersigned does hereby set his hand and seal this ____________day of ___________,
________.

________________________________
___
Seller (Sign as name appears on title

For your protection, Tennessee law requires the following to appear on

this form:
It is a crime to knowingly provide false, incomplete or misleading
information to an insurance company for the purpose of defrauding the
company. Penalties include imprisonment, fines and denial of insurance
benefits.

SUBSCRIBED AND AFFIRMED, BEFORE ME THIS _________ day of _________________, ________, in the County of

_________________________ State of _____________________.

(SEAL)

___________________________ _____________________
NOTARY PUBLIC SIGNATURE COMMISSION EXPIRES

Member National Insurance Crime Bureau

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