Wm Maloy - Assignment

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Wm Maloy Company Since 1966 RA-207

Wm Maloy Company - Assignment:

Lienholder:

Address:

City:

State: Zip:

Phone:

Ext:

Fax:

Attn: (collector)

Debtor:

Address:

City:

State: Zip:

Phone:

SSN:

Date of Birth:

Employer:

Address:

City:

State: Zip:

Phone:

Collateral Year,
Make & Model:

VIN:

Plate, State & Color:

Key Code:

Loan #:

Oldest Payment Due:

Normal Monthly Payment:

Loan Balance:

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.

Please provide information and instructions in this space:

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:

Email Address: Required

Any questions? Please contact us at 714-956-4820 or 800-854-0587.
You may also contact us via email at: wmmaloy@wmmaloyco.com