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Automobile Exchange Agreement (United States)

This is a form for an automobile exchange agreement in the United States. The form provided here is simply a sample of what the actual form looks like.

Automobile Exchange Agreement

I, ________________________________ [name],

of ________________________________ [full address],

loan to ________________________________ [name]

of ________________________________ [full address],

my vehicle registered in my name, stated below, for the period

of ________________________________ [number] weeks

from _________[beginning date]

to ________________________________ [ending date] inclusive,

and grant the above named person(s) permission to drive my vehicle in

both ________________________________ [first country name]

and ________________________________ [second country name],

but not in ________________________________ [third country name].

They understand that the driver must be in possession of a valid Driver's License.

In the event of an accident in which the above named persons are blameworthy, they agree to reimburse the vehicle owner,

________________________________ [name of vehicle owner], for the deductible portion of the insurance claim

in the amount of $_______________ for collision. They also agree to reimburse the vehicle owner the full amount of any sum in excess of the owner's liability coverage should a legal suit for bodily injury and/or property damage result in an award in excess of the owner's insurance coverage. Furthermore, they agree to reimburse the vehicle owner for the loss of the owner's safe driving discount each year for a period of four (4) years, or,

at the choice of ________________________________ [name], pay outright the total cost of any repairs required as a result of the accident.

Make of Vehicle: ________________________________

Model: ________________________________

Model Year: ________________________________

Serial Number: ________________________________

Registration Number: ________________________________

License Plate Number: ________________________________

Signatures:

________________________________

________________________________

Print Name ________________________________

HomeLink International member number ________________________________

Date ________________________________

Print Name __________________________

HomeLink International member number _______________________

Date ________________________________

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