Silver Triangle Building

25505 Corporate Circle Suite

3000
Southfield, MI 48034-8339
(800) 303-1228

CREDIT ACCEPTANCE CONTRACTOR KEY TRANSMITTAL FORM

CONSUMER NAME: ___________________________________________

VIN #: ________________________________________________________

UNIT: ________________________________________________________

KEY CODE: ___________________________________________________

TRANSPORTER/AUCTION REP: A signature acknowledging key possession/status is

required before you can take possession of this vehicle. If there are no keys, sign in the
designated spot below.

I, acknowledge receipt/possession of keys for this vehicle.

Keys Present: YES NO

TYPE: _____ Valet/Mechanical Key _____ Specialty Cut/Functioning Key

Vehicle Status: ______ Vehicle Operable _____ Vehicle INOP

ARE KEYS ZIP TIED TO STERRING WHEEL? YES NO

Signature: __________________________________________________
Auction Rep/Transporter

Print Name: _______________________________________

Transport Company Name: ___________________________ Date: _____________

Destination/Auction: ________________________________