Order Of Repossession

Date of Assignment / /
ex. 01/01/2010 Assigned By Account #

Legal Owner Information

Legal Owner Address City State Zip Phone () - FAX () -

Registered Owner Information

Registered Owner Address City State Zip Phone () - Work Name Work Address City Work Phone () - Comments

Vehicle Information

Year Make Model VIN # License # State Color Key Code Monthly Payments Are Due Date Deliquent Since Balance Owing

We agree to indemnify and save you harmless from and against any and all losses, damages, claims and actions, resulting from or arising out of your efforts to handle our assignment to you except such as may be due to the negligence or unauthorized acts of your company. We agree to pay any and all charges that you may incur including all attorney fees and court costs in attempts to repossess the following vehicle.

Order Of Repossession

Legal Owner Information

Registered Owner Information

Vehicle Information

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