Page 167 - Microsoft Word - NEW 2017 Standard Program.docx

Inter-Agency Hold Harmless Agreement
For Recovery Agency Re-assignment

Name of reassigning recovery agency

Address City State

Name of recovery agency accepting reassignment

Address City State

Debtor Name

Description of Collateral:

Year Make Color Tag No. State

This is your authorization to act as our agents to repossess, on sight, the above described
collateral which is covered by a defaulted installment contract.

We agree to indemnify and hold you harmless from and against all claims, damages,
losses and actions resulting from or arising out of your efforts to repossess the above
collateral, except however, such as may be caused or arise out of the negligence or
unauthorized or illegal acts of your firm, its officers, employees or agents. Nothing
contained herein shall be construed to authorize the violation of any federal laws or the
laws of your state.

Name of person reassigning account

Signature Date: Month Day Year 20

Name of person accepting reassigned account

Signature Date: Month Day Year 20

P