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Get IL VSD 683.2 2011

I. I Carrier/Registrant Address and are parties to a written Lease Agreement Agreement whereby the Equipment Owner has leased to the Carrier certain motor vehicle equipment listed below owned and controlled by the Equipment Owner whereby the Equipment Owner is providing the Carrier as operator or operators of the Equipment for the purpose of loading transporting and unloading freight. Name Phone dba Contact FEIN Year Make VIN Unit IV. Duration of Lease Agreement and Termination The Lease Agreement shall begin on the date below and shall remain in effect until terminated by either party giving notice to that effect. Notice may be given personally by mail or by fax at the address or fax number shown in MOTOR CARRIER/REGISTRANT EQUIPMENT OWNER USDOT Printed by authority of the State of Illinois. Print Reset Save LEASE AGREEMENT Note This Lease Agreement should be maintained in the Equipment during the term of the Agreement. II. The Original Agreement is on file at the Carrier s General Office. A copy of this Lease Agreement and receipt for the Equipment must be carried on the Equipment as required by 49 CFR 376. Carrier verifies that the Equipment is being operated by the Carrier pursuant to the terms of the Agreement. Name Phone dba Contact FEIN Year Make VIN Unit IV. Duration of Lease Agreement and Termination The Lease Agreement shall begin on the date below and shall remain in effect until terminated by either party giving notice to that effect. Notice may be given personally by mail or by fax at the address or fax number shown in MOTOR CARRIER/REGISTRANT EQUIPMENT OWNER USDOT Printed by authority of the State of Illinois. II. The Original Agreement is on file at the Carrier s General Office. A copy of this Lease Agreement and receipt for the Equipment must be carried on the Equipment as required by 49 CFR 376. Carrier verifies that the Equipment is being operated by the Carrier pursuant to the terms of the Agreement. Carrier verifies that the Equipment is being operated by the Carrier pursuant to the terms of the Agreement. Name Phone dba Contact FEIN Year Make VIN Unit IV. Duration of Lease Agreement and Termination The Lease Agreement shall begin on the date below and shall remain in effect until terminated by either party giving notice to that effect. II. The Original Agreement is on file at the Carrier s General Office. A copy of this Lease Agreement and receipt for the Equipment must be carried on the Equipment as required by 49 CFR 376. Carrier verifies that the Equipment is being operated by the Carrier pursuant to the terms of the Agreement. Name Phone dba Contact FEIN Year Make VIN Unit IV. Duration of Lease Agreement and Termination The Lease Agreement shall begin on the date below and shall remain in effect until terminated by either party giving notice to that effect. .

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