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Notice of Intent to Repossess

Complete the form fields below to generate a Notice of Intent to Repossess that you can print and use. (The current date is filled in automatically by the script creating the printable form.)

Click here for completed sample. Bolded items are examples of completed fields from this form.

Debtor's Name:
Street Address:
City:
State/Province:
(Please select U.S. state or Canadian province)
Zip/Postal Code:
Country:
Select U.S.A. or Canada
Date Contract was Signed://
(Select the month, day and year the contract regarding this debt was signed)
Reason:
(Indicate the reason the contract is in default.)
Respond Within: days
(Please indicate how many days debtor has to respond to this notice.)
Items:
(List the items to be repossessed.)
Creditor:
(Your name)

This is not a substitute for legal advice and it is suggested that an attorney be consulted.