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23 <br />Page 1/2 <br />DISPUTE INFORMATION: <br />Where was your vehicle parked?_________________________________________________ <br />Date/Time of Tow:_____________________________________________________________ <br />Have you retrieved your vehicle?_________When?_________________Cost $:__________ <br />Type of Complaint (circle one): <br />Overcharged Legally Parked Missing and/or Improper Signs <br />Other:_______________________________________________________________________ <br />What type of dispute resolution would you consider to be mutually fair? <br />____________________________________________________________________________ <br />____________________________________________________________________________ <br />Description of your dispute;explain your complaint fully,describing all events in the order they <br />occurred.Use additional pages as needed. <br />____________________________________________________________________________ <br />____________________________________________________________________________ <br />____________________________________________________________________________ <br />____________________________________________________________________________ <br />____________________________________________________________________________ <br />Signature:____________________________________________Date:__________________ <br />Note:IC 9-22-1-32 Liability for loss or damage to vehicle or vehicle parts Sec.32.The following are not <br />liable for loss or damage to a vehicle or parts occurring during the removal or storage of a vehicle or parts <br />under this chapter:(1)A person who owns,leases,or occupies property from which an abandoned <br />vehicle or its contents or parts are removed.(2)A public agency.(3)A towing service.(4)An automobile <br />scrapyard.(5)A storage yard.(6)An agent of a person or entity listed in subdivisions (1)through (5).As <br />added by P.L.2-1991,SEC.10.Amended by P.L.104-2005,SEC.8;P.L.54-2009,SEC.9.