This form is intended for creditors who have a lien on a vehicle.
Please complete the applicable portions of this form. The more thorough job you do now the faster we can help.
Your Name:
_________________________________________________________________
Your Address:
_______________________________________________________________
State &
County where you live
_________________________________________________
Phone Number: ___________________ (office)
____________________ (home)
Fax Number: ______________________
E-mail address: _________________________
If you are a
new client - who referred you to our office:
_______________________________
If applicable, your company's name, address and contact
information. This would be applicable if the debt is
owed to your company, not to you personally.
Full Name of
your company (if this is a corporation/LLC indicate
state of incorporation)
____________________________________________________________________________________
Company Address:
_______________________________________________________________
State &
County where company does business
_________________________________________________
Phone Number: ___________________ (office)
Fax Number: ______________________
E-mail address: _________________________
Full Name of the Debtor(s) ______________________________________________________________
Bankruptcy Case Number: __________________________ Has the debtor filed other bankruptcies? ( ) yes ( ) no
Check the
appropriate box if any of the following were pending a the
time the bankruptcy was filed:
___ repossession
___ garnishment
If you know,
what you need our firm to do?
___ a motion for relief from the automatic stay
___ a proof of claim
___ objection to Plan of Reorganization
___ objection to discharge
___ general review of bankruptcy issues
___ attend creditor's meeting (341(a))
___ Other -
_____________________________________________________________________
For lenders on
vehicles: Please provide this
office with the following documents, if they exist:
If the lender is a company - a signed resolution giving the agent for the company authority to sign the necessary documents to proceed with this legal action. Make sure to identify the person authorized to sign the documents and their position with the company.
Copy of all signed Contracts, including leases.
Copy of the Department of Motor Vehicle Lien
Copy of any assignments or modifications of the contracts or other loan documents.
Copy of all demand letters for payment, or responses from property owner or the servicer.
A copy of any of the
following that applies to your situation:
Seizure demand(s), notice of auction, complaint, answer, judgment,
garnishment
Copy of
letter to the servicer authorizing
their release of information to my office.
In addition we need the
following information:
Name and address of the
vehicle owners:
________________________________________________________________________
Location or address for the
vehicle (include City and zip code):
___________________________________________________________________________________
County where the vehicle is located _____________________________________
Type of vehicle _____________________________ Year __________________
Fair Market Value of vehicle _______________________________
Date was the vehicle financed by you/your company ______________________
Did the borrower already own the vehicle when the loan was made? 5 yes 5 no
Is your name on the title as a lender? Do not guess - look at the title. 5 yes 5 no
Is the vehicle used for 5 personal use 5 commercial use 5 I do not know
Is there insurance on this vehicle? 5 yes 5 no 5 I do not know
Are you listed as a loss payee on the insurance? 5 yes 5 no 5 I do not know
Have you tried to repossess the car? 5 yes 5 no Problems: _______________________
If repossessed, who has current possession
of the vehicle: (name, address
and phone number)
________________________________________________________________________
Have you made any oral or written
agreement(s) with regarding to accepting late or partial
payments? If so, what, when and
how?
_________________________________________________________________________
_________________________________________________________________________
Have you received any bad funds from this
borrower in the last 24 months? If so, how often?
_________________________________________________________________________
Any
problems that you know to exist (including litigation):
______________________________________________________________________________
_________________________________________________________________________
If you are not the
person who receives the payments, information about the servicer of this loan.
Name:_________________________________, Address_________________________________
Phone: ___________________ Fax: __________________ Account number:
_______________
If a repossession or law suit has
started information about the trustee or attorney.
Name:_________________________________, Address_________________________________
Phone: ___________________ Fax: __________________ Account number:
_______________
Debt as of date that the bankruptcy was filed.
Principle Amount: _______________________ Interest
rate (non-default) _______________
Information about the payments:
Monthly payment amount $_________
Payments borrower has missed:
___ payments (number) from _______ (month) to _______
(month) (eg: 7 payments from March/07 to Sept/07)
Default rate of interest from _______(date) to
________(date) totaling $__________
Late charges: (number of months) _________________ totaling
$____________
Monies you have paid to lawyers,
including costs, ________________________ (name) $______
Other monies you have paid __________________________________ (name) $______
After we receive this information we will prepare documents. We cannot start the process until we have received this information and a retainer of $750.00. The more thorough you are in filling out this information the faster the process can be started.
If this is a motion for relief there will be a 5 day demand letter sent to the Debtor and Debtor's attorney.
VERY IMPORTANT NOTES:
IT IS EXTREMELY IMPORTANT THAT YOU DO NOT TALK TO THE DEBTOR or THEIR ATTORNEY.
IS IS ALSO EXTREMELY IMPORTANT THAT YOU DO NOT ACCEPT ANY MONIES FROM THE DEBTOR WITHOUT FIRST TALKING TO THIS OFFICE.
MAKE SURE TO TALK TO ME IF INSURANCE IS NOT BEING PAID.
MAKE SURE THAT YOU KEEP TRACK OF ALL MONIES YOU SPEND. IF YOU EXPECT TO RECEIVE A REFUND OF THESE MONIES YOU MUST INCLUDE THEM IN THE FIGURES YOU PROVIDE US IN THIS FORM OR A LATER AMENDMENT.