Placement, Creditors Recovery Systems, Inc.

SERVICE DESIRED

Creditor:
Address:
City:
State:
Zip:
Authorized by:

Comments:

Mail information or Scan to: info@creditorsrecovery.com or fax to 630/782-6615

Debtor:
Address:
City:
State:
Zip:

Contact:
Balance Due:
Phone:
Fax:
E-mail:

Account #:

ENCLOSURES TO FOLLOW

Statement/Invoices(s)

Contact/Purchase Order

Correspondence

Guarantees

Credit Report

FREE DEMAND SERVICE

Direct payment request
stating a Ten day period

Date for FREE DEMAND to begin:

Date for FREE DEMAND to end:

Client must report payment or, withdraw account on or before date indicated as FREE DEMAND period, to avoid collection fees. If we do not hear from you, collection will begin the following day.

IMMEDIATE COLLECTION

Contact of debtor within 24
hours of placement.

In the event it becomes necessary to forward this claim to attorneys we direct and authorize you as our agent to send the account to a Commercial Law League attorney designated by us. Where none is given you are to forward the account to an attorney whose firm appears in a law list publication approved by the American Bar Association upon prevailing rates. Special authorization is required to file suit, comprise or grant an extension. Your or our attorneys are authorized to accept any type of payment for deposit, the net proceed of which you are to remit to us.