(1) Legible copies of Credit App, Contract, and Drivers License  (2) Field Worksheet (see Manual Form) or Computer Printout (3) Special Instructions [Check off and Circle below request]       (  ) Make contact at RA or  BA - Verify current info,  Collect $,  Voluntary Surrender         (  ) Leave Field Notice    FSL01 or  FSL02         (  ) No Contact at RA or  BA - Drive-by and spot for collateral only,  Repo on sight         (  ) Other [Specify]                 (4) Authorization Form (see Manual Form) or Hold Harmless                I, ________________________________________the designated person at      (Company) _________________________________ duly authorizes DHN FINANCIAL to act as our agent with reference to the following: To collect any monies due on our behalf, to take possession of our collateral, and/or to transport the collateral to a designated recipient. We agree to idemnify and hold DHN FINANCIAL harmless from and against any and all claims, damages, losses, and actions including reasonable attorney fees, resulting from the above referenced acts except, however, as such may be caused by, or its agents.                                                                                                                                     Submission of this form via fax or internet, shall constitute full authorization to consider this a work order. Signed ________________________________________