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REPOSSESSIONS & REMARKETING

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Repo, Recovery, Repossession, Remarketing, Austin, Texas, Asset, Repossessions, Repos, Repoman, Auto, Delivery, Skip tracing, Auto Repossession, Repossess, Repossessing, Assets, repoaustin.com, repossession company in Austin

Assignment Form

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Your Company *

Address *

City, State *

Zip Code *

Phone Number * / Ext.

Email

Fax

Collector *

Account Number

Debtor *

Address *

City, State *

Zip Code

Home Phone

Cell Phone

SSN & Birthday

Employer

Debtor's Position

Address

City, State, Zip

Phone

Year, Make, Model *

VIN Number *

License #

Color

Key Codes

Past Due Date

Amount Past Due

Monthly Payment

Loan Balance

Assignment Type *

Other Information ... (Cosigner, special instructions, skip data, alternate address, etc.)

Authorized By *

Date *

By clicking the button below I do hereby authorize Capital Adjusters, Inc. to act as our agent to collect or repossess the above collateral which is covered by a defaulted Contract or Security Agreement. We agree to indemnify and hold Capital Adjusters, Inc. harmless from and against any and all claims, damages, losses and actions including reasonable attorney fees, resulting from or 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 agents.

Those items marked with an asterisks (*) are required fields

Assignment Form

Lienholder Information

Debtor Information

Employment

Collateral

Loan Information

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