Assignment Forms

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Lienholder




Debtor




Collateral



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 "Instructions" space below.




Authorization


You must check this box to confirm you agree to our terms. By checking this box you authorize Advanced Recovery Solutions LLC to act as your agent to collect or repossess the above collateral. You agree to indemnify and hold our associates harmless from and against any and all claims, damages, losses and actions including reasonable attorney fees, resulting from and arising out of our 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 our company, its officers, employees or its agents.





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