Brantley and Brantley Adjusters, Inc.  Repossession Specialists of Oklahoma
 

Serving all of Oklahoma since 1971.

3 locations to serve you (Oklahoma City, Tulsa and Lawton).

3 locations in Oklahoma City, Tulsa, and Lawton

Member of the American Recovery Association since 1978

American Recovery Association (repossession specialists)

Welcome to Brantley & Brantley Adjusters, Inc. Online.

Place a Repo Order Online

Lienholder:
Address:

City:
State: Zip:

Phone: Extension:
Fax:

E-mail:

Collector:

Debtor:
Address:

City:
State: Zip:

Phone: Extension:
Fax:

E-mail:

Social Security Number and Date of Birth:

Employment:
Address:

City:
State: Zip:

Phone: Extension: Fax:

Collateral Year, Make & Model:
Plate, State & Color:

Key Numbers:

Vehicle Identification Number:

Loan #:
Past Due Date:

Monthly Payment:
Loan Balance:

Assignment Type:

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.

Authorized by: Date: