I-NEX Solutions, Inc.

13902 N. Dale Mabry Blvd, Suite #225 Tampa, Florida  33618 Phone:(813) 963-0004 Fax:(813) 968-2195   E-mail

Pennsylvania MVR Release Form Instructions

Step 1.

Have the subject complete Blocks C and E       Have the subject sign in Block E.

Step 2.

The requesting company completes Blocks A and D (down to the "title" line)       Company must sign in Block D.

Step 3.

Fax the completed form to I-NEX Solutions, Inc. at (813) 968-2195       The records can NOT be searched until this form is received by I-NEX.

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