top of page
State License Number:
R1800024
Directions
(904) - 574 - 9141
HOME
ABOUT US
SUPPORT
FAQ'S
APPLY NOW!
REPOSSESSION REQUEST
Complete Company Address *
Authorized Representative Name *
Email *
Phone *
Debtors Name *
Debtors Complete Home Address
Debtors Phone Number
Debtors Employer and Address
Collateral Type
*
Passenger Vehicle
Pick Up Truck
SUV/Van
Motorcycle
Watercraft
Powersports Vehicle
RV/Camper/Bus
Semi/Dump Truck
Commercial/Farm Equipment
Other
Year/Make/Model *
VIN *
Plate Number
State of Registration
Note: Should you have any information regarding family members, relatives of the debtor, or any unique or defining information that would be helpful in aiding us in the recovery of your vehicle, please enter that information in the space below.
This is your authorization to act as our agents to repossess on sight for the above described collateral which is covered by a defaulted installment contract.
We agree to indemnify and hold you harmless from and against all claims, damages, losses and actions, including reasonable attorney fees. Resulting from and arising out of your efforts to repossess the above described collateral except however, such as may be caused or arise out the negligence or unauthorized or illegal acts of your firm, its officers, employees or agents. Nothing contained herein shall be construed to authorize the violation of the laws of your state.
Your special immediate efforts will be appreciated.
Agree to the terms set above
*
Agree
Submit
Thanks for submitting, we'll be in touch!
Request
Assingning Company Name *
bottom of page