Online Assignment Request

By law in the state of California Key Auto Recovery can only accept assignments from Legal Owners/Lienholders.

We CANNOT perform personal private party repossession services.

 Lienholder: *  
Assigned By: *
   Address:
   City:
   Zip Code: (5 digits)
   State:
Phone: *
    Fax: *
    Email: *
 Debtor: *  
    Address:: *  
    City, Zip Code: *  
    Phone:  
    SSN and DOB:  
 Employer:  
    Address:  
    City, Zip Code:  
 Collateral
 
Yr/Make/Model:
*
 
    Plate/State:  
    Key Code/  
    Color:
 
    VIN: *  
Please give us any information that may help us recovery the vehicle on your behalf.:
  This is authorization for Key Auto Recovery to act as our agent to collect or repossess the above collateral.  We agree to indemnify and hold you harmless from and against any and all claims. except. however, however, as such may be caused by or arise oout of negligence or unauthorized acts on the part of you, your company, its officers, employees or its agents.
 Authorized By: *  
 Date:  
 Security Code: *   

Website Builder