AS AGENT FOR THE CREDITOR WE ARE FORWARDING THE FOLLOWING CLAIM SUBJECT TO THE CONDITIONS AND RATES SET FORTH BELOW:

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DEBTOR:
AMOUNT:
PHONE
CONTACT:
BANK:

CREDITOR:
INDIVIDUAL
PARTNERSHIP

STATE OF CORPORATION:

INSTRUCTIONS
SUBMIT SUIT REQUIREMENTS
INVESTIGATE AND ADVISE
FILE SUIT IMMEDIATELY
BASIS OF CLAIM
MERCHANDISE
NOTE
SERVICE
CONTRACT
OUR EXPERIENCE
BROKEN PROMISES
PARTIAL PAYMENTS STOPPED
NSF CHECKS(S)
DISPUTE-SEE REMARKS
UNABLE TO CONTACT
PLEADS POVERTY
ENCLOSURES
STATEMENTS
INVOICE(S)
NOTE(S)
NSF CHECK(S)
CONTRACT
SUIT COSTS
THIS CLAIM IS BEING SENT ON THE FOLLOWING RATES/CONTINGENT UPON COLLECTION RETURN MERCHANDISE 50% COMMISSION.

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