Free to submit, contingent service This order form is free to submit with no payment required. Speedy Repo only charges a fee if the collateral is recovered. $0 DUE TODAY Free to submit · no charge unless we recover it
Step 1 of 3

Collateral

Enter what you have on the unit and the account holder. Missing something? Leave it blank and note it for the field agent below.

Example: 1FTFW1E50NFA12345

Please include the title, note, or bill of sale, along with a completed credit application and/or references.

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Drag files here or browseAssignment paperwork, contract, condition photos: PDF, DOC, JPG or PNG, up to 10 MB each
    Don't have a scanner?
    1. Easiest: fill out this form on your phone, tap the upload area above, and choose Take Photo (or pick the picture from your photo library). No scanner, no computer, no extra steps.
    2. Want a cleaner scan? Most phones can turn a photo into a proper PDF. On iPhone, use the built-in scanner in the Notes or Files app. On Android, open Google Drive and use the scan option under the camera icon. Save it, then upload it here the same way.
    3. On a computer instead? Take the photos on your phone, email them to yourself, then save and attach them from that email on your computer.

    Whatever method you use, make sure the whole page is visible and the text is easy to read before uploading.

    Secure form  ·  Contingent service: no charge unless your collateral is recovered.

    Step 2 of 3

    Client information

    Order confirmation and status updates go to this contact.

    Step 3 of 3

    Authorization

    Review the assignment terms and sign to release this to dispatch. Nothing is billed unless we recover the unit.

    Authorization to Repossess & Hold HarmlessScroll to review

    To: Speedy Repo  ·  Phone: 1-800-953-4428  ·  Email: [email protected]

    This is your authorization to reposses, impound, make keys and transport across state lines the above-described collateral which is covered by a defaulted installment contract or lease agreement. We name Speedy Repo as our exclusive agents for repossessing the collateral described below. This means that any agent we have previously engaged is no longer authorized to repossess this collateral unless they are subsequently authorized to do so by Speedy Repo.

    We agree to indemnify, defend, and save you harmless from and against any and all claims, losses and actions, except for your unauthorized efforts and/or actions which may be acts of our company, its officers, employees or agents.

    We understand that Speedy Repo. under it’s corporate charter, is bound by the laws of the State of Ohio, and it’s services are rendered subject to the jurisdiction of the laws of that state.

    Should the collateral be found with repair charges and or storage charges incurred in such an amount that they exceed our estimate of the value of the collateral, Speedy Repo’s fee will never exceed the salvage value of the collateral or we will tender a negotiable title to the collateral in lieu of your fees.

    I understand that I will be charged ten to twenty percent of collateral value as a contingent fee. I also understand this is a contingent repossession fee and I will not be charged unless the collateral is repossessed, as described at speedy-repo.com/repossessions.

    We will pay a $200.00 closeout fee if we cancel this repo assignment prior to the 90 days. We also agree that if the debtor or his agent(s) should surrender the collateral to anyone else during the term of this agreement it will be deemed to have been repossessed by Speedy Repo. Anyone else is understood to mean but is not limited to, body shops, police impound lots, other repossessors or to any facility under our direct or indirect control.

    Typing your name above constitutes your legal electronic signature on this agreement, with the same force and effect as a handwritten signature.
    SSL secured, protected by Cloudflare A badge indicating this form is submitted over an encrypted SSL connection, protected by Cloudflare, and that submitted information is kept safe and never sold or shared. SSL SECURED Encrypted connection · protected by Cloudflare Your information is safe · never sold or shared
    No recovery, no chargeRepossession orders are contingent: you only pay if we pick up your collateral.
    What happens after you submitYour case is assigned straight to dispatch. A recovery coordinator reviews it and calls you back, typically within one business hour, to confirm the details and get your recovery moving. No need to call in to check; we'll reach out first.

    Submitted over an encrypted connection and delivered directly to our recovery team. Your information is never sold or shared with third parties. This form is protected by Cloudflare to keep spam and automated submissions out.

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    Order received

    Your assignment is in the dispatch queue. A recovery coordinator will confirm it and reach out if anything else is needed, typically within one business hour.

    Order reference