Submit an Assignment

Dallas County Adjusters, Inc.
Services Available in the Dallas/Fort Worth Metroplex and a 150 mile radius, with affiliating agents nationwide

Corporate Headquarters
P.O.Box 2193
Mesquite, Texas 75185-2193
Nationwide Assignment Center
Phone : 1.800.626.REPO
or our 24 Hour Hotline: 1.214.502.2132
Fax : 1.972.285.6665

*Lienholder:
Address:
City:
State:    Zip:
Phone:    Extension:
Fax: 
E-mail:
Collector: 

Debtor:
Address: 
City:
 State:     Zip:
Phone:
Fax:
E-mail:
SSN and Date of Birth:

Debtor's POE:
Address: 
City:
State:    Zip:
Phone:    Extension:

Co-Maker:
Address: 
City:
 State:     Zip:
Phone:
Fax:
E-mail:
SSN and Date of Birth:

Co-Maker's POE:
Address: 
City:
State:    Zip:
Phone:    Extension:

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.

Authorized by:
Date:
*All fields marked with an asterisk are required

Any questions? Please contact us at 1.800.626.REPO or our 24hr. Hotline at 1.972.288.2222.

You may also contact us via email at:

Contacting Us Your Protection Services Home Assignment Form Service Area Associations Feedback