Ordinances-1979-84

COMPLAINT FORM I, ____________________________, being first duly sworn, do depose and state that I am the owner of property located within the City of Tiffin, Iowa, and that there has been parked on the property without my consent or permission, a motor vehicle described as: license number ________________ in violation of Ordinance No. That pursuant to Paragraph II of said Ordinance I wish to have the vehicle removed and in line therewith do file in writing this statement releasing the City of Tiffin from any liability for damages to me from the removing of the vehicle. Dated this _____ day of _______________, 19____. ______________________________ PROPERTY OWNER ________________________________ Subscribed to and sworn to before me this _____ day of _______________, 19____. ________________________________ Police Deputy for the City of Tiffin LICENSED TOWERS: NAME ____________________________ ADDRESS _________________________ TELEPHONE _______________________ LOCATION OF VEHICLE ______________