REPOSSESSION ORDER
Michigan --- Indiana --- Ohio
 
Michigan Auto Recovery, Inc.
Licensed Repossession & Detective Agency
P.O. Box 393, Holt, MI 48842-0393
Phone (517) 699-2595, Fax (517) 694-8118
Please print, fill out form and mail or fax to Michigan Auto Recovery, Inc.
All required fields are marked with a *


*Client:                                                                                                              Date:                     

*Mailing Address:                                                                                                                           

*Officer:                                                      Toll Free Phone:                                 Ext:                  

*Regular Phone:                                                        Ext:              Fax:                                          

Lien holder (if different than above)                                                                                               
 

*Debtor:                                                                                                   DOB:                              

SS#:                                                      DL# and State:                                                                   

Spouse:                                                                                                     DOB:                              

SS#:                                                      DL# and State:                                                                   

Address:                                                                                                                                          

                                                                                                   Phone#:                                        

 

Employment Debtor (Company, address, telephone, employees position and shift):

                                                                                                                                                        
Employment Spouse (Company, address, telephone, employees position and shift):

                                                                                                                                                         Previous Employments: 

                                                                                                                                                       
Previous Home Address:

                                                                                                                                                       

 

 

 

 

Relatives or Friends (our area only):                                                                                              

                                                                                                                                                       
*Vehicle (year, make, model and body type): 

                                                                                                                Color:                             

*VIN #:                                                                              Plate#:                              State:          

Date of Loan:                         Past Due Date:$                        Monthly Payment: $                      

Balance:  $                   


Account#:                                                      Spare Key (Mail) or Key Codes:                             
 

Comments:                                                                                                                                        

                                                                                                                                                       

                                                                                                                                                       

How did you obtain our company's name:                                                                                     

We start immediately but request that you FAX or MAIL us a confirmation letter with hold harmless clause and if possible a copy of the credit application, security agreement, title or bill of sale. Thank you for the assignment.