CLAIM FORWARDING FORM

Debtor

Name
Title
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
FAX
E-mail
URL

Creditor

Name
Title
Organization

Amount of Claim


Bank Information

Name

Creditors Compositions

INDIVIDUAL    PARTNERSHIP
CORPORATION - Inc. In the State of:

Basis of Claim

Merchandise  Note  Service  Contract   

Our Experience

Broken Promises    Partial Payments       
Stopped Payments     NSF Checks   
Dispute (See Remarks)  Unable to Contact      
Pleads Poverty         

Enclosures

Statements  Invoice     Note(s)     NSF Checks
Contract    Suit Costs  

Remarks


Forwarded By:

Name
Title
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
FAX
E-mail
URL                                  

PLEASE INSTITUTE NO  PROCEEDINGS; INCUR NO  EXPENSES; MAKE   NO COMPROMISES;  GRANT  EXTENTIONS; WITHOUT WRITTTEN AUTHORIZATION.   ALL PAYMENTS  LESS YOUR COMMISSIONS MUST BE REMITTED AS RECEIVED.  COLLECT INTEREST WHEREVER POSSIBLE.  CLAIMANT PREFERS ALL CORRESPONDENCE BE CONDUCTED THROUGH OUR OFFICE.

THIS ACCOUNT IS FORWARDED IN ACCORDANCE WITH THE OPERATIVE GUIDES AND RECEIVERS ADOPTED BY THE COMMERCIAL LAW LEAGUE OF AMERICA,  TO WHICH WE SUBSCRIBE.   FAILURE TO ACKNOWLEDGE CLAIM, ANSWER LETTERS OR FOLLOW CLAIMANT'S INSTRUCTIONS, WILL LEAVE CLAIMANT FREE TO RECALL THIS CLAIM WITHOUT PAYMENT OF COMMISSIONS TO YOU.   REPORT PROMPTLY THE POSSIBILITY OF COLLECTIONS.  IF SUIT IS ADVISABLE,   STATE EXACTLY WHAT PAPERS AND COST YOU WILL REQUIRE.  CHARGES AND DISBURSEMENTS DUE ON OTHER CLAIMS MUST NOT BE DEDUCTED FROM THE AMOUNTS COLLECTED ON THIS CLAIM.
IF THESE TERMS ARE NOT ACCEPTABLE, PLEASE RETURN IMMEDIATELY STATING THE REASONS.  PLEASE ACKNOWLEDGE RECEIPT, STATING WHETHER THE TERMS AND CONDITIONS ARE SATISFACTORY.

 

PO Box 716  Oyster Bay, NY  11771
Phone: (516) 922-1020     Fax: (516) 922-1038
Toll Free: (800) 765-2551

E-Mail: allbusinesscred@optimum.net

 

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