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Get Sarpy County Impound

Not personally signed in front of Impound Facility personnel. Subscribed and sworn before me this day of , 20 . Notary Signature: (Seal) Faxing Instructions: If this form is faxed to the Sarpy County Impound Facility it must include a photocopy of an official photo identification (e.g. state issued driver s license or ID card, military ID, etc.). 04/07.

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