REPOSSESSION ASSIGNMENT

ASSIGNING LEGAL Date Time
Address City, State Zip
Attn: Phone: Ext: Fax:

Lienholder: Acct #:

DEBTOR: Spouse:
                           Last, First, Middle

Home Address: City, State, Zip:
Phone:
DOB
  Male

Female

 Female
Employment:
(Male)                                           Address                             Phone               Trade
Employment:
(Female)                                       Address                             Phone               Trade
Relatives/Contacts/References:
 
Additional Information:

Special Instructions: Voluntary Involuntary


Vehicle {Year/Make/Model}:
VIN #:
Color: Key #: Lic. Plate #: Exp:

Gross Balance: Pmt Amount: Past Due Date: Date Last Pd:



This is your authorization to act as our agents to collect or repossess, on sight, the above collateral which is covered by a defaulted contract.

You are not to reassign if no longer in your service area. Report findings and send detailed report with advice.

This assignment is forwarded to you via the American Recovery Association, Inc. Directory.

We agree to indemnify and save you harmless from and against any and all claims, including court costs, reasonable attorney fees, and other expense of litigation, except to unauthorized acts of your firm.

This indemnification is granted as consideration for your acting as our agent. It is agreed that this contact is executed within your state and that the laws of your state shall be applicable. When there are two states involved, the laws of both states may be applicable.

Your special immediate efforts will be appreciated. Please acknowledge and keep us fully informed. Thank you.