Company Assigning:
Assignment Information:
Repossession
Voluntary Repossession
Co-Borrower Information
:
Collateral Information:
Loan Information:
Note: Should you have any information regarding references, family members or any info that would help us in the recovery of your collateral, please enter that information here
This is your authorization to act as our agent to collect or repossess the above 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 claims, except, however, as such may be caused by or arise out of negligence or
unauthorized acts on the part of you, your company, its officers, employees or its agents.
*****
This is an agreement to provide services. All work is billed at a minimum $225.00 closeout (plus
mileage where applicable) unless no documented runs are performed. If no runs have been
performed there will be a minimum $25.00 closeout. Any waivers will be addressed by management.
Thank you for the opportunity to service your collateral recovery needs!