MCS Repossession Form, Faxable, No Graphics, Printable, Formal by halfman

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									MICHIGAN CREDITORS SERVICE, INC.                                 Michigan State License: No. 23
           4500 Remembrance Road N.W.                          mcs_management@michigancreditors.com
            Grand Rapids, MI 49544-1122                         National Finance Adjusters, Inc.
 (616) 453-6447 (616) 453-3694 (616) 453-1345 Fax              American Recovery Association, Inc.
            Repossessions & Collections                          Time Finance Adjusters, Inc.

Customer Information:                                 Date:
   Account #:
      Name:
     Address:
        City:                                         State:                          Zip:
      Phone: (     )                                   SS#:                        D.O.B.:      / /
Employment Information:
  Occupation:
    Employer:
     Address:
        City:                                         State:                             Zip:
   Reference:

Type Of Obligation:                                        Payment Information:
     Security Agreement                                    Total Past Due Payments:
     Mortgage                                              Present Unpaid Balance:
     Note                                                  Present Past Due Date:
Instructions:                                              Date Of Loan:
     Repossess on Sight                                    Original Amount:
     Demand Balance In Full or Repossess                   Number of Payments Made:
     Demand Delinquent Payments or Repossess               Date of Last Payment:
     Interview in Endeavor to Work Out Payment Plan        Dealer’s or Co-Maker’s Name & Address:
If Security is Repossessed:
    Please Send Condition Report
    Obtain three (3) bids for our consideration
    Inform Us Where Security it Stored so we can
    Arrange for its Return
Year:                      Body:                                        License #:
Make:                      Key #:                                       License Year:
Model:                     Serial #:                                    License State:
Color:                     Extras:
Comments:                                          Return Address:




                                                   Phone: ( )                    Fax: ( )


                                                                    (Authorized Signature)

  SO THAT WE MAY BETTER SERVE YOU, AT THE MOST REASONABLE PRICES IN OUR MARKET PLACE,
 PLEASE FAX OR E-MAIL ALL REQUESTS FOR UPDATES, NEW INFORMATION, AND ACCOUNT. INCLUDE
DEBTOR NAME, CITY ASSIGNED, VEHICLE MAKE AND MODEL. ALSO INCLUDE YOUR FAX #, VOICE #, AND
                  THE INDIVIDUAL TO WHOM RESPONSE SHOULD BE DIRECTED.

								
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