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.
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This is your
authorization to act as our agent 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 claims, except,
however, as such 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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