REPOSSESSION ASSIGNMENT

REPOSSESSION ASSIGNMENT
Account #
Client Name
Contact Person
Phone Number

Area CodePhone Number
E-mail
Type of Assignment

Involuntary RepossessionVoluntary RepossessionImpound RepossessionActive GPS
Debtor Information
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Drivers License
SSN
Date of Birth
Debtor Employer
Phone Number

Area CodePhone Number
Collateral Description
VIN
Year
Make
Model
Color
Tag
Documents

Upload a File

Cancelof
GPS Info/ Additional Information:
This is your authorization to act as our agents to collect or repossess the above mentioned collateral. We agree to indemnify and hold you harmless from and against any and all claims, damages, losses and actions, including reasonable attorney fees, resulting from and arising out of your efforts to collect and/ or repossess this order, except however such as may be caused by or arise out of the negligence or unauthorized act on the part of you, your company, its officers, employees or its agents. Authorized by:
Should be Empty:

Debtor Information