The Baldwin Company

Forms & Assignments

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or click these links for printable versions to complete and fax to 916.635.6063.

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Assignment Form
Hold Harmless
Close Case Assignment Notification
Hold Case Assignment Notification

Online Assignment Form

Lender:

Address

City:

State: Zip:

Phone:    Ext:

Fax:

E-mail:

Collector:

Debtor:

Address:

City:

State: Zip:

Phone:

E-mail:

SS#:

DOB:

Employment:

Address:

City:

State:    Zip:

Phone:    Ext:

Fax:

Collateral (Year, Make, Model):

Plate, State & Color:

Key Codes:

VIN:

Loan Acct #:

Past Due Date:

Mo Paymt:

Loan Balance:

Assignment Type:

Comments/Miscellaneous Information:

Storage Instructions:

Hold Harmless:
This is your authorization 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, damages, losses and actions including reasonable attorney fees, resulting from and arising out of your efforts to collect and or repossess claims, except, however, as such may be caused by or arise out of negligence or unauthorized acts on the part of you, your company, its officers, employees or its agents.

Authorized by:

Date:

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