Assignments - Acadia Recovery, Inc. - Maine's Recovery Specialists

Submit your assignment using our online form here, or login to RDN.
* Required
Lienholder: *

Please enter your name

Street: *

Please enter your address.

Street 2:

City: *

Please enter your city.

State: *

Please select your state.

Postal Code: *

Invalid format.Exceeded maximum number of characters.Please enter a valid zip code.

Phone: *

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Ext.:

The entered value is greater than the maximum allowed.Exceeded maximum number of characters.

Fax:

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Email: *

Invalid format.Please enter email

Collector: *

Please enter collector

Debtor: *

Please enter Debtor

Street: *

Please enter Debtor address

Street2:

City: *

Please enter Debtor City

State: *

Please select State

Postal Code: *

Invalid format.Please enter postal code

Phone:

Ext.:

Email:

SS#: *

Please enter SS#

DOB: *

Please enter DOB

Employment: *

Please enter employment

Street:

City:

State:

Postal Code:

Phone:

Ext.:

Fax:

Collateral: *
(Yr, Make, Model)

Please enter collateral

Plate, State, Color:

Key Codes:

Vin: *
(include all 17 numbers)

Please enter Vin

Loan Account #: *

Please enter Loan Account #

Past Due Date:

Monthly Payment:

Loan Balance:

Assignment Type: *

Please select assignment type

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: *

Please enter authorizing person

Date: *

Please enter today's date
Security code: *

Entered text does not match; please try again

Which number is highest 47 or 85?

Answer: *

Incorrect response; please try again