Repossession Service Request - TAKERS, INC.

(Collateral Recovery Request – Kansas)

Required Documents

TR-84 Form

Contract or Lien Papers

Authorized Property Owner/Manager

I, the undersigned, am the lawful lienholder, authorized agent, or designated representative of the entity listed above, and I affirm that I have full legal authority to authorize the repossession of the vehicle described herein. I hereby grant TAKERS, INC. permission to recover and take possession of the vehicle in accordance with all applicable Kansas laws and regulations governing repossession. I certify that the vehicle is subject to repossession due to default, breach of contract, or as collateral under a bail bond agreement, and that this action is being requested in compliance with all contractual and legal obligations. I further acknowledge that TAKERS, INC. is acting on my authorization and that I am responsible for ensuring all information provided in this form is accurate and truthful. By signing, I request that TAKERS, INC. proceed with the repossession in a safe, professional, and timely manner and that all actions taken are consistent with Kansas law and standard repossession practices.

By signing this form, the signer affirms under penalty of perjury that they are authorized to request this tow. TAKERS, INC. reserves the right to verify the authority of the signer before proceeding. Any falsification or misrepresentation may result in legal action.