Assignments

Recovery Connect and RDN users

Submit your assignment online here using the form below, or click the Recovery Connect or RDN logo if you have a login and request your assignment through them.

Please fill out the form below to request an assignment

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Lienholder Info

Lienholder

Upload a Copy of the Title

Drop files here or

Max. file size: 16 MB.

Address

Street Address City State Zip Code

Phone

Collector

Debtor Info

Debtor Name

Address

Street Address City State Zip Code

Phone

SSN and Date of Birth

Debtor POE Info

Debtor POE

POE Address

Street Address City State Zip Code

POE Phone

Co-Maker Info

Co-Maker Name

Co-Maker Address

Street Address City State Zip Code

Co-Maker Email

Co-Maker Phone

Co-Maker SSN and Date of Birth

Co-Maker POE Info

Co-Maker POE

Co-Maker POE Address

Street Address City State Zip Code

Co-Maker POE Phone

Vehicle Info

Collateral Year, Make, Model

Plate, State, & Color

Key Numbers

Vehicle Identification Number (VIN)

Loan Number

Past Due Date

Monthly Payment

Loan Balance

Choose 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.

Please Provide Information and Instructions Here:

THE UNDERSIGNED (THE “CLIENT”) HEREBY REPRESENTS AND WARRANTS THAT CLIENT HAS A VALID INTEREST IN THE COLLATERAL DESCRIBED BELOW AND HAS A LEGAL RIGHT TO IMMEDIATE POSSESSION OF SAID COLLATERAL. THEREFORE, CLIENT AUTHORIZES BENCHMARK ASSET RESOLUTION, INC., ITS EMPLOYEES AND AGENTS (COLLECTIVELY, “BAR”) TO REPOSSESS THE COLLATERAL DESCRIBED BELOW. FURTHERMORE, CLIENT AGREES TO INDEMNIFY AND DEFEND BAR AND HOLD BAR HARMLESS FROM ANY AND ALL LIABILITY ARISING OUT OF THE REPOSSESSION RESULTING FROM ANY NEGLIGENCE, ERROR OR OMISSION BY THE CLIENT, INCLUDING ANY ERRORS REGARDING CLIENT’S RIGHT TO POSSESSION OF SUCH COLLATERAL. IT IS UNDERSTOOD THAT BAR WILL ACT AS AN INDEPENDENT CONTRACTOR WHILE MAKING SUCH REPOSSESSION AND THAT CLIENT HAS NO RIGHT TO CONTROL AND DIRECT THE MANNER IN WHICH BAR PERFORMS SUCH SERVICES. THE TIME, MANNER AND METHOD OF PERFORMANCE OF SUCH SERVICES SHALL BE DETERMINED BY BAR IN ITS SOLE DISCRETION. CLIENT AGREES TO IMMEDIATELY NOTIFY BAR OF ANY SETTLEMENTS MADE BY CLIENT OR IF CLIENT LOSES THE LEGAL RIGHT TO REPOSSESS THE COLLATERAL SO THAT BAR CAN CEASE ITS REPOSSESSION EFFORTS. UNLESS OTHERWISE AGREED TO OR SPECIFIED, CLIENT AGREES TO PAY BAR’S STANDARD RATES, FEES AND EXPENSES OR SUCH FEES AND EXPENSES SPECIFIED AND AGREED TO BY CLIENT AND BAR. TO THE EXTENT ANY LEGAL DISPUTES ARISE OUT OF THIS ASSIGNMENT, BY SIGNING BELOW, CLIENT AGREES THAT SUCH DISPUTES SHALL BE GOVERNED BY THE LAWS OF THE STATE OF CALIFORNIA AND ALL SUCH ACTIONS MAY ONLY BE BROUGHT AND ADJUDICATED IN THE STATE OF CALIFORNIA.

Authorized By:

Date

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