AUTHORIZATION TO REPOSSESS & HOLD …
AUTHORIZATION TO REPOSSESS & hold harmless TO: ICU, INC. Phone : 1-888-342-7737 FAX: (866) 329-8787 VEHICLE DESCRIPTION: YR. _________ MAKE __________ MODEL __________ COLOR _________ VIN: ______________________________ KEY CODES: ___________________________ DEBTOR/LESSEES NAME: ________________________________________ ____________________ DEBTOR SOCIAL SECURITY NUMBER: ________________________________________ ___________ DATE: _____________ MONTHLY PAYMENT _____________ OUTSTANDING BAL: ______________ Gentlemen: This is your AUTHORIZATION to reposses and impound the above-described collateral which is covered by a defaulted installment contract or lease agreement.
authorization to repossess & hold harmless to: icu, inc. phone : 1-888-342-7737
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