The following Repossession Form information has been submitted.
TRISTATE AUTO RECOVERY, INC.
4381 Mayhew Avenue
Cincinnati, OH 45238
+1.513.471.1310 phone
+1.513.251.7433 fax
email: tristatear@core.com
web: http://www.tristateautorecoveryinc.com
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LIEN HOLDER INFORMATION:
Authorized Contact: ${authfirst} ${authlast}
Authorized Email: ${authemail}
Authorization Date: ${authdate}
Company: ${company}
Address: ${companyaddress}
Address Line 2: ${companyaddress2}
City: ${companycity} State: ${companystate} ZIP: ${companyzip}
Phone: ${companyphone}
Phone 2: ${companyphone2}
Fax: ${companyfax}
Assignment Type: ${assignmenttype}
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DEBTOR INFORMATION:
Name: ${debtor}
Address: ${debtoraddress}
Address Line 2: ${debtoraddress2}
City: ${debtorcity} State: ${debtorstate} ZIP: ${debtorzip}
Phone: ${debtorphone}
SSN: ${debtorSSN}
DOB: ${debtorDOB}
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DEBTOR POE INFORMATION:
Name: ${debtorpoe}
Address: ${debtorpoeaddress}
Address Line 2: ${debtorpoeaddress2}
City: ${debtorpoecity} State: ${debtorpoestate} ZIP: ${debtorpoezip}
Phone: ${debtorpoephone}
Employment Verified: ${debtorpoeev}
Shift: ${debtorpoeshift}
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VEHICLE INFORMATION:
Year: ${vyear} Make: ${vmake} Model: ${vmodel} Type: ${vtype}
VIN: ${vvin}
Color: ${vcolor}
Plate: ${vplate}
State: ${vstate}
Key Code: ${vkeycode}
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LOAN INFORMATION:
Loan Date: ${loandate}
Loan Payment Amount: ${loanpayment}
Delinquent Amount: ${loandamount}
Balance: ${loanbalance}
Past Due Date: ${loanpastduedate}
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CO-MAKER INFORMATION:
Name: ${comaker}
Address: ${comakeraddress}
Address Line 2: ${comakeraddress2}
City: ${comakercity} State: ${comakerstate} ZIP: ${comakerzip}
Phone: ${comakerphone}
SSN: ${comakerSSN}
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CO-MAKER POE INFORMATION:
Name: ${comakerpoe}
Address: ${comakerpoeaddress}
Address Line 2: ${comakerpoeaddress2}
City: ${comakerpoecity} State: ${comakerpoestate} ZIP: ${comakerpoezip}
Phone: ${comakerpoephone}
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COMMENTS/ADDITIONAL INFORMATION:
${additionalinfo}