Car Rental Agreement Template (Page 2 of 3) in pdf

Car Rental Rate: $________ / weekly or $_______ / daily

Car Make: ____________________ Model: ____________________

License Tag Number: ______________________________________

Gas Tank Reading: [__] Full [__] ¾ [__] ½ [__] ¼

The individual mentioned above in this Car Rental Contract hereby agrees to fill the fuel tank at

the above indicated level upon returning the car. Failure to fill the tank at the prescribed level

will result in an additional penalty charge of $20.00 per quarter tank of gasoline.

Initial: ________

It is the Car Renter’s responsibility for all lost car keys and / or a lockout situation.

Initial: ________

Only the person(s) that are listed on this Car Rental Agreement and above the age of twenty-

one may drive this vehicle. The above mentioned Car Renter is hereby responsible for all

collision damage to the vehicle regardless if someone else is at fault or the cause is not known.

The Car Renter is fully responsible for the cost of any repair up to the value of the vehicle. The

Car Renter’s Insurance may cover all or only part of the financial liability for the rented vehicle.

Car Renter should check with their insurance company regarding their coverage and what they

are and are not liable for. If there is no breach of this contract the Car Renter and any

authorized driver is provided liability insurance and is limited to the minimum financial

responsibility as required by state law. Liability Insurance will only be in excess over any and all

additional collectible insurance. The above mentioned Car Renter hereby waives all uninsured

and under insured motorists, no fault and any other optional additional coverage. If such

additional coverage cannot be waived or excluded then the Car Renter agrees that such

coverage will be limited to only the minimum state requirements.

The Car Renter is hereby bound by the terms and conditions of this Car Rental Agreement. The

vehicle must be returned to the same location in which it was picked up for rental and on or

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Car Rental Agreement Template Page 2