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Repossession Request Form
Full name
Residential address
Business name
Work address
Contact numbers known for borrower
Registration Plate Number
VIN Chassis Number
Engine Number
- Make/model
- Year model
- Manufacturer
- Color
Security Description other
* Serial number
Last payment made
Current arrears
Overdue interest charges
Total to Collect
Other charges (detail what they are)
Next due date and amount due
Frequency of re-payments
Weekly
Fortnightly
Monthly
Contract type (ie. Consumer Mortgage, HP, Lease, Bill of Sale, Other
Previous arrangements made and broken
References name & telephone number
Auction Yard security to be taken to: (Name & Address if known)
Additional Information
Date first update required by
Dealer or supplier of goods
Name of insurance company unit insured with as at the time of the contract
Details of finance broker where applicable
Confirm the approach you would like us to take:-
Select below
a) Repossess on sight no part arrangements
b) Make arrangements if arrears and costs can be paid within (specify time frame)
c) Repossess if arrears and costs paid but security is unregistered
d) Repossess if arrears and costs paid but security is uninsured
e) Repossess even if arrears are paid based on (confirm reason ie Fraud, termination of contract etc)
FURTHER INSTRUCTIONS IN RELATION TO HOW YOU WOULD LIKE US TO APPROACH THIS REPOSSESSION
Court Orders
20. Please supply the following information at the time of issuing us instructions OR when a Court order is required. Essentially, this process will be required where an occupier of land is refusing access to a premises used for residential purposes for the purpose of repossession.
a) Copy of dealer invoice
b) Copy of last Notice of Demand
c) Copy of original contract
Attachments
Your Information
Company Name
Contact Name
Phone
Email
Your reference number
Your client's name
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