• Collateral Recovery
• Transportation and Delivery
• Collateral and Property Storage
• Skip Tracing
• Field Investigation

Date:
Voluntary:		Involuntary:
Transport:		Impound:
Pictures & Condition Report:
Client Information:
Assigning Legal:
Address:
City:		State:		Zip:
Phone		Fax:
Email:
Debtor Information:
Debtor:
Social Security:		D.O.B.:
Co-Buyer:
Debtor's Address:
Debtor's Employment:
Co-Buyer's Address:
Co-Buyer's Employment:
Relatives/Contacts/Reference's:
Additional Information:
Vehicle Information:
Vehicle Year/Make/Model:
V.I.N. Number:
License Plate:		Color:		Key Code:
HOLD HARMLESS is the legal owner of the subject vehicle.
The contract payments are in default and it is the desire of to obtain immediate possession of the vehicle
and to declare the vehicle to be a permanent repossession. For and in consideration of your releasing this subject vehicle to. We agree to imdemnify you for losses
suffered as a direct result of claims of ownership brought with respect to the vehicle.
Signature:
Title: