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10141 Santa Fe Springs, CA 90670
Ph: 626-649-4323  |  screntalllc@gmail.com

Client Intake Form

YOUR TRUSTED VEHICLE RENTAL — Please complete all required fields

Renter Information

Renter Insurance Information

Rental Car Information

Auto-set 30 days from start — adjustable

Credit Card & Payment Authorization

🔑 Card Saved Securely — No Charge Today

Your card is saved on file for SC Rental to charge later when needed (e.g. deposit $100.00). No money is taken today.

I hereby authorize SC Rental, LLC to charge the credit card provided below.

Secured by Stripe — card data is encrypted and never stored on our servers.

Incidental Charges — Acknowledgement

Please read and acknowledge: Toll fees, parking violations, and FasTrak violations will be charged to the card on file plus a 25% admin fee.

* At-fault collision deductible $1,000.00. Waived if Renter uses own insurance.

Terms & Conditions

Article 1 — Parties

This Car Rental Agreement is between SC Rental, LLC, 10141 Freeman Ave, Santa Fe Springs, CA 90670, and the Renter.

Article 2 — Rental Fee and Payment

Mileage Limit: No greater than 100 miles per day. Fuel: Renter shall pay for fuel.

⚠ At-fault collision: $1,000.00 deductible charged to payment on file. Waived if Renter uses own insurance.

Article 3 — General Obligations

Renter warrants possession of car insurance. Renter shall fully indemnify Owner for any loss or damage. Renter will not carry extra passengers, allow others to drive, violate laws, tow vehicles, race, or operate negligently.

Arbitration: Disputes resolved in Santa Fe Springs, CA per AAA rules under California law.

Article 4 — Incidental Charges

Toll, parking & FasTrak violations charged to card on file plus a 25% admin fee.

Article 5 — Dispute Resolution

All disputes governed by the laws of the State of California.

Live Contract Preview

Fill in the form above to see your personalized contract preview.

I have read, understood, and agree to all Terms & Conditions of this Car Rental Agreement with SC Rental, LLC.

Signature & Agreement

All disputes governed by the laws of the State of California.

Your card is saved securely — no charge is made today. SC Rental will charge your card when needed (deposit: $100.00).