The Shepard Co., Inc./GIS  Assignment Sheet                                               

Print, Fill Out & Fax to 951) 372-0852.       

Your acct # _______________  Bal Due $ ___________  Payoff Amount $ ________

Branch Contact & Phone Number _________________________________________________

Repossession Co. & Phone Number ________________________________________________

Skip:  Please attach a copy of the following; Application, Reference List, Collector's Notes (last 2 months or so),

Copy of Contract, Utility Bills (if possible) and this sheet.

PERSON OR PERSONS YOU ARE LOOKING FOR:

Name:____________________________________  SSN# _________________

Co-Buyers Name:___________________________  SSN #_________________

Address: _________________________________________________________

Home #:___________________   Business #:_______________________

Place of Emploment & Address (last known):_____________________________

_________________________________________________________________

Collateral Information:  YEAR:_________   MAKE:_____________  MODEL:_______

PLATE:__________________   VIN:_______________________________________

COLOR:__________________