National Recovery Network LLC.

National Recovery Network LLC Repossession Order ** Only persons authorized by a respective principal may submit the following Repossession Order to National Recovery Network PLEASE NOTE: All fields are mandatory.
	Client Information
	Client Name:
	Address:
	City, State, Zip:
	Phone:
	Cell Phone:
	Email:
	Fax::
	Debtor Information
	Debtor Name:	(Person in Possession of Property)
	Address:
	City, State, Zip:
	Phone:
	Current?:
	Date of Birth:
	SSN #:
	Spouse Name:
	Debtor on Title:
	Debtor on Loan:
	Relationship to Client:
	Has there been any physical attempts to obtain property?
	If Yes please explain:

	Debtor Employment Information
	Last Known Employer :
	Occupation :
	Address :
	City, State, Zip :
	Phone :
	Lienholder Information
	Is there a lien on the property by a bank or finance company?
	If Yes; Lienholder Name:
	City, State, Zip :
	Collateral Information
	Year::
	Make :
	Model :
	Color :
	VIN# :
	Plate#:
	State Plate Issued:
	Description of Collateral (100 char)	(Please give description of the collateral to be recovered)
	Please explain in detail how this individual came into possession of your property (1000 char)
	Loan Information
	Current Balance Owed:
	Current Value of Property:
	Monthly Payment :
	Months Past Due :
	Amount Past Due:
	Date Last Paid:
	Please check which one of the following search engines used to find us at National Recovery:
	Google:
	MSN
	Yahoo
	AOL
	if Other
	Who did you speak with at National Recovery Network LLC’s Sales Department?

	AGREEMENT:
	By submitting this electronic form with Client’s electronic signature, Client warrants their legal ability to enter into this Agreement and agrees to all of the above terms and conditions.
	I agree that I have read and understand all the terms and conditions contained in the “Agreement” immediately above, and agree to be legally bound by same.
	Signature :
	Date :