To get started, just fill out the form below and click submit at the bottom.


LEGAL CREDITOR INFORMATION
Account Number
Lienholder
Collector's Name
Address
City
State
Zip
Phone #
Fax
COLLATERAL PROPERTY INFORMATION
Year
Make
Model
Vin #
License #
Color
State
Key Code
DEBTOR INFORMATION
First Name
Last Name
Social Security Number
Date of Birth
Phone #
Cell Phone #
Address
City
State
Zip
Employer
Employer Phone #
Employer Address
Employer City
Employer State
Employer Zip
CO - DEBTOR INFORMATION
First Name
Last Name
Social Security Number
Date of Birth
Phone #
Cell Phone #
Address
City
State
Zip
Employer
Employer Phone #
Employer Address
Employer City
Employer State
Employer Zip
LOAN INFORMATION
Loan Balance
Payment Amount
Date Due
Date Last Paid
Comments or Alternate Addresses
Delivery Instructions
Assignment Type
AUTHORIZATION INFORMATION
YOU ARE AUTHORIZED TO REPOSSESS THE AUTOMOBILE DESCRIBED ABOVE. IT IS UNDERSTOOD THAT YOU WILL ACT AS AN INDEPENDENT CONTRACTOR WHILE MAKING SUCH REPOSSESSION, AND WE RESERVE NO RIGHT TO CONTROL AND DIRECT THE MANNER IN WHICH YOU PERFORM THE SERVICES FOR US. THE TIME, MANNER AND METHOD OF PERFORMANCE OF SUCH SERVICES SHALL BE DETERMINED BY YOU, YOU ARE ACCOUNTABLE TO US FOR THE ULTIMATE RESULTS ACCOMPLISHED THROUGH THE RENDITION OF SUCH SERVICES. WE WILL PAY YOUR USUAL RATE, FEES AND EXPENSES FOR THE SERVICES PERFORMED IN THIS CONNECTION, AND WILL NOTIFY YOU IMMEDIATELY OF SETTLEMENTS MADE BY US SO THAT REPOSSESSIONS SHOULD NOT BE CARRIED OUT. WE AGREE TO PROTECT AND HOLD YOU HARMLESS FROM ANY AND ALL LIABILITY OF EVERY KIND AND NATURE IMPOSED OR SOUGHT TO BE IMPOSED UPON YOU AS A RESULT OF ANY NEGLIGENCE, ERROR, OR OMISSION ON OUR PART INCLUDING EMPLOYEES AND/OR AGENTS. WE HEREBY WARRANT THAT WE ARE ENTITLED TO IMMEDIATE POSSESSION OF THE VEHICLE DESCRIBED.
 
Authorized By
Title
Authorized Date
Please note that all assignments sent to Stealth Auto Recovery are subject to verification. If you are a new client we suggest contacting us by phone prior to sending an assignment to find out about our rates and policies.


 https://www.recoverydatabase.net  Centerpointe Insurance Services, Ltd. Towing and Recovery Specialists