Universal Services, Inc.

      Corporate Headquarters
      P.O.Box 2572
      Fayetteville, NC 28302-2572
      Phone: 910.678.8866 | Fax: 910.678.8946
      Toll Free Phone: 800.358.7089


            Lienholder:

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            Collector:


            Debtor:

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            Employment:

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            Collateral Year, Make & Model:

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      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.

      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.

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      Any questions? Please contact us at 800.358.7089
      Or you may also contact us via E-mail at:

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