We use the following
Operating Systems:








Online Assignment Form


Submit an assignment using our online form here,
or click one of the logos below if you have a login:

* Required Fields
*Lienholder:
*Address:
*City:
*State:  *Zip:
*Phone:    Ext:
Fax:
*E-mail:
*Collector:

*Debtor:
*Address:
*City:
*State:  * Zip:
Phone:
E-mail:
*SS#:
*DOB:

*Employment:
Address:
City:
State:    Zip:
Phone:    Ext:
Fax:

*Collateral (Year, Make, Model):
Plate, State & Color:
Key Codes:
* VIN:

*Loan Acct #:
Past Due Date:
Mo Paymt:
Loan Balance:
*Assignment Type:

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 "Instructions" space below.
*Authorized by:
*Date:            

Please type in the box the numbers and/or letters you see.
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Corporate Office | P.O. Box 12421 | Albuquerque, NM 87195
Phone: 505-245-7376 (repo) | Toll-Free: 877-753-7376 (repo) | Fax: 505-843-7376 (repo)


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