FIRST NATIONAL REPOSSESSION, INC.
7964 Brooklyn Blvd. #111, Minneapolis, MN 55445
Phone: (612) 561-0926 Fax: (612) 560-6407
Toll Free: (888) USA-REPO Toll Free: (888) USA-REPO
ORDER OF REPOSSESSION
TO: __________________________________ PHONE: ____________________________
FAX: ______________________________
CONTACT: __________________________
QUOTE: ________________________________ TRANSPORT: ________________________
CLOSE: ________________________________ STORAGE: __________________________
DATE: ________________________________ ASSIGNMENT #: _____________________
DEBTOR: _______________________________ CO: _______________________________
ADDRESS: ______________________________ ADDRESS: __________________________
CITY: _________________________________ CITY: _____________________________
PHONE: ________________________________ PHONE: ____________________________
EMPLOYMENT: ___________________________ EMPLOYMENT: _______________________
ADDRESS: ______________________________ ADDRESS: __________________________
CITY: _________________________________ CITY: _____________________________
OCCUPATION: ___________________________ OCCUPATION: _______________________
PHONE: ________________________________ PHONE: ____________________________
___________________________________________________________________________
YEAR | MAKE | MODEL | VIN | LICENSE | COLOR
| | | | |
_________|_________|_________|__ ____________________|___________|_________
KEY NUMBERS | LAST PAY DATE | PRESENT BALANCE | DELINQUENCY
IGNITION | DOOR | | | DATE | MO PMT
| | | | |
| | | | |
_________|_________|_______________|_________________|___________|_________
INSTRUCTIONS/OTHER INFORMATION:
This is your authorization to act as our agents to collect or repossess on
sight, the above collateral which is covered by a defaulted contract. You
are not to reassign if no longer in your service area. Report findings
and send detailed reports and a condition/inventory report with Your
invoice. All assignments are assigned as fully contingent on recovery
unless other terms are agreed to in advance in writing. By accepting this
assignment, you are indicating that you have the insurance and bonding to
cover any claims arising from your actions in repossessing or attempting
to repossess above described collateral. Upon our request, a copy of said
insurance and bonding shall be faxed or mailed to us. We agree to
indemnify and save you harmless from and against any and all claims,
damages, losses, and actions resulting from or arising out of your efforts
to collect the above claim, except those that may arise or be caused by
the negligence, unauthorized acts, or failure to comply with applicable
federal and state statues by you, your employees and/or agents.
LEGAL OWNER: ACCT #: TFA REFERRAL