CAAR
Recovery Operations Center
13501 NW Industrial Dr.
Bridgeton, MO 63044

Ph: 314.739.8444
Fax: 314.739.8814

Online Assignment Form

* Required Fields
*Lienholder:
*Address
*City:
*State:	*Zip:
*Phone:	Ext:
Fax:
*E-mail:
*Collector:
*Type:	InvoluntaryVoluntary  *Account #:
Debtor's Information:
*Name:
*SS#:	*DOB:
Primary Address:
City:
State:	Zip: Phone:
Employment /Phone:
Co-Buyer's Information:
*Name:
*SS#:	*DOB:
Primary Address:
City:
State:	Zip: Phone:
Employment /Phone:
*Collateral (Year, Make, Model):
Plate, State & Color:
Key Codes:
* VIN:
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 information here:
SPECIAL INSTRUCTIONS:
This is your authorization to act as our agents to collect or repossess the above collateral. We agree to indemnify and hold you harmless from and against any and all claims, damages, losses and actions including reasonable Attorney fees, resulting from and arising out of your efforts to collect and/or repossess, except however such as may be caused by or arise out of negligence or unauthorized acts on the part of you, your company, its officers, employees or its agents.
*Authorized by:
*Date:
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