NV Commercial Impound Authorization This form is to be used for impounds located on all properties not classified as a Residential Complex. Milne Towing Services is hereby authorized and directed to remove, tow, and impound the vehicle listed below for a violation of this private property’s parking rules, regulations, and/or property rights.Make* Model* License Plate Number* YearColor State & Expiration* Vehicle Identification Number (VIN) Reason for ImpoundAbandoned VehicleBlocking/Interfering with Entrance or ExitExpired RegistrationFire Lane or Fire Hydrant ViolationHandicapped Space ViolationHealth, Safety, or Welfare ViolationInoperable VehicleNo Permit DisplayedTenants AuthorizedOtherProperty Name* Property Address* Date Phone Number*Email* Title* Authorized Name Printed* Signature*Consent* I Certify the Following: All information provided is true and correct. I am who I represent myself to be. I am authorized to make this impound request. The electronic signature provided may be used and treated as the legal equivalent of my manual/physical signature.Time *Asterisks denotes a required field. Information provided in this form is kept confidential in accordance with NAC 706.4275.