Louisville Repossession Company
Secured Recovery.....We Make Drivers Pedestrians
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*First Name / Last Name
*Last known Address
*City /State/Zip
*POE (Place of Employment )
*Make
*Model
*Color
*VIN
*Reference 1
*Reference 2
*Reference 3
*Reference 4
*Reference 5
*Reference 6
*By typing your name and company below you understand and confirm that you are the eligable descision maker within the applying company, Moreover agree that your able to authorize this request for reposession of the above collateral.
*TEL
Fax
*EMAIL
*Date (mm/dd/yyyy) Time
*WE AGREE TO HOLD YOU HARMLESS FROM ANY CLAIMS INCL. REASONABLE ATT. FEES RESULTING FROM YOUR EFFORTS TO REPOSSESS THE ABOVER COLLATERAL ** INITIAL BELOW **
*Last known phone number for the debtor
