We ARE Professionals Dedicated to Locating and Recovering Your Collateral

Advanced Recovery Solutions LLC is licensed, bonded and insured.

Please use this form to request our services. As an additional precaution, we recommend closing your browser when done submitting to secure your data.

Lienholder

Lienholder:
Address:
City:
State:
Zip:
Phone:
Ext:
Fax:
Collector:
Email:

Debtor

Debtor:
Address:
City:
State:
Zip:
Phone:
Email:
Social Security
Date of Birth:
Employment:
Work Address:
City:
State:
Zip:
Work Phone:

Collateral

Collateral Type:
Year:
Make:
Model:
Plate:
State:
Color:
Key Codes:
VIN:
Loan Account #:
Date Past Due:
Monthly Payment:
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.
Special Instructions

AUTHORIZATION

Must use this box to confirm you agree to our terms.By checking this box you authorize Advanced Recovery Solutions LLC to act as your agent to collect or repossess the above collateral. You agree to indemnify and hold our associates harmless from and against any and all claims, damages, losses and actions including reasonable attorney fees, resulting from and arising out of our 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 our company, its officers, employees or its agents.

Authorized By: Please confirm your assignment.

Date Authorized: Please enter assignment date.

Your Email where this confirmation will be sent to: Your email here.Invalid format.