Statement of Liabilities
I hereby acknowledge that during the currency of any hiring agreement made in pursuance of my arrangement with Ad-MOTO Limited of Unit 4 City Limits, Danehill, Reading, Berkshire, England, RG6 4UP, for the hiring of vehicles from time to time, and for the purposes of sections 62 to 68 of, and Schedule 4 to, the Road Traffic Offenders Act 1988, I shall be liable as the owner of any vehicle hired under that agreement (the registration mark of which shall be recorded in the agreement) in respect of:
I further acknowledge that I shall be liable as owner of any vehicle hired under the said agreement (the registration mark of which shall be recorded in the agreement) in respect of:
The statement made above applies to any penalty charge notices, fixed penalty notices, private parking fines, private penalty notices and any and all other fines, imposts, or any other sum demanded by any authority or company relating to my use of the vehicle on hire to me pursuant to the said agreement.
I confirm acceptance of the statement of liabilities