Repossession Assignment Sheet

CTAR Inc.

907 Energy Dr.

Abilene, TX 79602

Phone 325-692-8685  800-480-6984

Fax 325-692-0035

Date__________Your Account Number (if applicable)______________________

Debtor’s Name____________________________________________________

Addr_________________________City_______________State_____Zip______

Phone numbers____________________________________________________

Employment________________________________Addr__________________

SS#______________DOB________DL__________________State__________

Co-Maker _______________________Address__________________________

City______________________State______Zip__________________________

Phone Numbers___________________________________________________

Employment_______________________________Addr___________________

SS#___________________DOB_____________DL_______________State___

Date of last contact with debtor________Type of communication_____________

Bal Owed $__________Monthly Pmt__________Amt Past Due_____________

Date last paid________

INSTRUCTIONS Repo on sight __ Other_______________________________

VEHICLE Year _____Make ____________Model ___________Color_________

VIN # |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

License Plate______________ State _________Key Code__________________

Are you a car dealer?____ A financial institution?_____ A finance company?____

Your Name _____________________Company Name_____________________

Address____________________________ Email: ________________________

Phone #_____________________Ext ________Fax #_____________________

This is your authorization to act as our agent to collect or repossess the above collateral. Client (Company) shall fully protect, indemnify and hold harmless and defend CTAR Inc. and each of its affiliates, subsidiaries and parents, their respective directors, officers, employees, agents, insurers, attorneys, successors, assigns and its approved subcontractors, for any and all loss, demands, penalties, interest, actions or causes of action whatsoever, including costs, expenses and reasonable attorneys fees, in any manner arising out of, related to or in connection with, or resulting from: the violation of any federal, state or local law, rule, regulation, or ordinance; or any intentional or negligent act or omission or willful misconduct of Client or their officers, agents or employees. This is your authorization to act as our agents to collect or repossess on sight, the below captioned collateral which is covered by a defaulted contract. Report your findings and send us a detailed report of your findings with advice. It is acknowledged that you do not work contingent. Prices quoted are basic repossession services and do not include relocating services or other expenses.