Forwarding Form 2

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		Collections by Attorneys who specialize in Collection Law! www.suitcosts.com

Use this form if you want our staff handle this collection item for you which includes initial Debtor research and claim management. Using this Form is the equivalent of placing your claim with our office as a collection case.

SuitCosts.Com PO Box 141006 Staten Island, NY 10314		Phone: 718-727-9661
		Fax: 718-727-9347

Print for faxing or mailing

Debtor Information:
Debtor Name:
Person to Contact:
Address:
Additional address line:
City:
State:
Zip:
Principal Amount Due:

Account Number that you use to identify your customer:

Date of Oldest Invoice:

dd/mm/yy

Date of Last/Final Invoice:

Debtor's Phone Number:

Service Agreement: It is agreed that the fee for this claim will be 25% without suit. On a case by case basis, a non-contingent suit fee or other contingency rates may be warranted. The decision to file suit remains the decision of the Creditor. It is understood that commissions will be charged on all accounts collected, paid direct, withdrawn, or settled by the return of merchandise.

If you are placing a foreign claim, please place your claim by fax or mail and hand write the foreign phone number, zip code and required address format (if known)


Creditor Information:
Your Company Name:
Your Name:
Address:
City:
State:
Zip:
Your Phone Number:	--

COMMENT: