Starlight Recovery & Investigations, LLC

Submit your Online Assignment Form here:

To send additional documents, complete the online form
and then click here to add attachments.

Lienholder:
Address:
City:
State:	Zip:
Phone:	Extension:
Fax:
E-mail:
Collector:

Debtor:
Address:
City:
State:	Zip:
Phone:	Extension:
Fax:
E-mail:
SSN and Date of Birth:

Employment:
Address:
City:
State:	Zip:
Phone:	Extension:
Fax:

Collateral Year, Make & Model:
Plate, State & Color:
Key Numbers:
Vehicle Identification Number:

Loan #:
Past Due Date:
Monthly Payment:
Loan Balance:

Assignment Type:

Note: Should you have any information regarding family members, relatives of the debtor, or any unique or defining information that would be helpful in aiding us in the recovery of your vehicle, please enter that information in the "Instructions" space below.

Please provide information and instructions in this space:

This is authorization for Starlight Recovery & Investigations, LLC 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.

Please fax a copy of the Vehicle Title with Lienholder, and signed Hold Harmless agreement.
Fax: (319) 346-0930 Telephone: (319) 346-9797