Assignments

Assigning Company Name*

Complete Company Address*

Direct Phone Number*

Email address*

Debtor Name

First

Last

Debtor’s Complete Address*

Debtor’s Phone Number*

Employer & Full Address*

Year/Make/Model*

Vehicle Identification Number/Serial Number*

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 repossess, impound and transport across state lines the above-described collateral which is covered by a defaulted installment contract or lease agreement. We name Tip Towing & Recovery, LLC as our exclusive agents for repossessing the above-described collateral. This means that any agent we have previously engaged is no longer authorized to repossess this collateral unless they are subsequently authorized to do so by Tip Towing & Recovery, LLC . We agree to indemnify, defend, and save you harmless from and against any and all claims, losses, and actions, except for your unauthorized efforts and/or actions which may be acts of our company, its officers, employees or agents. We understand that Tip Towing & Recovery, LLC . under its corporate charter, is bound by the laws of the State of Pennsylvania, and its services are rendered subject to the jurisdiction of the laws of that state. We also agree that if the debtor or his agent(s) should surrender the collateral to anyone else during the term of this agreement, it will be deemed to have been repossessed by Tip Towing & Recovery, LLC. Anyone else is understood to mean but is not limited to, body shops, police impound lots, other repossessors or to any facility under our direct or indirect control. *

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