Junk Car Pickup Form – Jay’s Auto – PA

JAYS AUTO Jay Bauer started Jay’s Auto Wrecking, Inc. in 1960 in Edinboro, PA. His son, Charlie, started running the business in 1989. We have 14 acres of late-model used parts for domestic and foreign cars and pickups.

Owner Information Section
Name *			State/Province *
Address on Ownership *			ZIP/Postal Code *
City *			Phone Number *
Cell Number			Email *

Donating Your vehicle?
Yes, I want to donate my vehicle.
Name of the Licensed Charity of your choice

Vehicle Information Section
Year			Make
Model			Mileage
Licence Plate			VIN #
Location of vehicle if different than the address above.
Condition of vehicle			Comments about vehicle
There are no liens / loans outstanding against this vehicle.
I do have the ownership / title to transfer to the Authorized Treatment Facility.
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Junk Car Pickup Form – Jay’s Auto – PA

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