ACCEPTANCE OF COLLECTION CLAIM
Receipt is acknowledged of your claim against
________________________________ for ___________ ($________).
Your claim is accepted for collection under the
following terms and conditions:
Our experience of contacts with the debtor are shown
by check marks preceding the
[ ] 1.
Personal demand is being made upon the debtor. A further report will be made to you in _________ days.
[ ] 2. The debtor is slow in payment, but we
believe that we can collect your claim
[ ] 3.
The debtor must be sued. If you
desire suit to be filed, please send duplicate
invoices, statements of account, and the enclosed
affidavit, properly executed,
together with your check for ____________ ($_______)
to pay estimated court costs and attorney fees.
[ ] 4.
The debtor generally remits payment to the creditor immediately on our
demand. Kindly advise us of direct
[ ] 5. The debtor is in bankruptcy. Please execute the enclosed proof of claim
power of attorney and return
them to us at once.
[ ] 6.
We have had ____________ claims against the debtor and have now
collected on ___________ of them.
[ ] 7.
We now have claims against the debtor and are collecting them: _________
[ ] 8.
This debtor disputes the claim.
Please furnish additional information concerning the claim and send us
all original correspondence, together with any original orders, written
acknowledgments, or promises to pay.
[ ] 9.
This debtor is: (a) out of
business, (b) has no property that can be levied on, and (c) is not earning
sufficient wages for garnishment.
However, we believe payment will be made as soon as possible. We will try to persuade (him/her/them) to
pay and keep you advised unless you advise us to return the claim to you.