PLACE AN ACCOUNT
(Commercial Accounts Only)


AcrobatDownload a debt placement form (in PDF format). Don't have Acrobat Reader? Click here
Upon receiving your commercial debt recovery placement, our debt collection attorneys and staff will immediately begin the debt collection process. If we have any questions, or require more information, we will contact you for clarification.

Please complete our simple form below to assign an account. This online process is the quickest and easiest way to appoint us as your representative, and it will allow us to start collecting your money today. If you prefer a manual process, you can print out a Debt Placement Form (click 'Download' link above) for completion and delivery via fax, mail or email.

* Required Field

Your Information

Current Clients: Please provide Company Name, Contact Person, & E-mail only.

Company Name:
Contact Person:
Address(1):
Address(2):
City:
State:
Zip:
Phone:
Fax:
* E-mail:
   

Debtor Information:
Debtor Company:
Contact Person:
Address(1):
Address(2):
City:
State:
Zip:
Phone:
Cell Phone:
Fax:
Account Number:
Principal Balance:
Date of Last Payment:
Oldest Unpaid Invoice Date:

Is any portion of this account disputed? Yes No

Comments:


I will be submitting the following:
Valid Attachment Types: *.pdf, *.xls, *.doc
Max size per file: 20480 KB (20 MB).
Max combined file size: 51200 KB (50 MB).

(Attach from your computer or submit via fax to 520-546-1062,
Attn: Claims Processing)
Select category of file(s) to upload: Click browse button to select files:
Statement of Account
Invoices
Credit Application
Personal Guarantee
Collector Notes / Correspondence
Copy of Debtor Check
Other

IE 4+ or Netscape 3+ is required
 


Upon receiving your placement, you will receive an email confirmation from our Claims Processing Center. Upon submitting accounts, you authorize us to act as your agent for collection, contact your debtors, accept and endorse payments for deposit, and remit net proceeds to you.
 
about the series privacy information
place an account

free demand letter

sample demand letters

fee schedule

collection agreement


TESTIMONIAL
James O'Brien
Credit Manager
Graphic Arts Supplier - New Jersey
"Just wanted to drop you a quick note to let you know how successful your IRS collection technique has been for me. I have used this technique and have gotten positive responses 4 out of 5 times. I usually send a copy of a W-9 form and highlight the cancellation of debt portion in order to show the account that this is for real. It has been a real gem for me on some of those hard accounts that just refuse to pay, until they think that I am informing the IRS of some unreported income. Thanks again and keep up the good work. "
See more testimonials