Commercial Collection Account
Your Company Name (Creditor)
Your Address
Street
State
City
Zip
Telephone Number
Contact Person
File Number
Your Email Address
Debtor's Company Name
Debtor's Address
Street
Zip
State
City
Telephone
Contact Person
Amount Owed
Date of Last Charge
Status/Collection Effort To Date:
* Please attach any and all documentation relating to this claim (eg. Statement of Account, Invoices, Contract, etc)
Attachment
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