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Form #769Acceptance of Collection Claim
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ACCEPTANCE
OF COLLECTION CLAIM
Date:Â _______________________
To:Â ________________________
Receipt is acknowledged of your claim
against ________________________________ for ___________ ($________).
Your claim is accepted for collection
under the following terms and conditions:
___________________________________________________________________________________________________________________________________________.
Our experience of contacts with the
debtor are shown by check marks preceding the
appropriate statements:
[  ] 1. Personal demand is being
made upon the debtor. A further report will be made to you in _________ days.
  [  ] 2. The debtor is slow in payment, but we believe
that we can collect your claim
without suit.
[  ] 3. The debtor must be sued.Â
If you desire suit to be filed, please send duplicate
invoices, statements of account, and
the enclosed affidavit, properly executed,
together with your check for
____________ ($_______) 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 remittances.
  [  ] 5. The debtor is in bankruptcy. Please execute
the enclosed proof of claim and      Â
  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:Â _________
___________________________________________________________________.
[  ] 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.
_________________________Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â
_________________
Signature                                                        Â
Title
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site.
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form, and you agree to abide by these terms. It is highly recommended that you have
a licensed attorney review any legal documents for which you are searching in order
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Your use of this site constitutes your acceptance of our terms of use and your agreement
to hold this site, its officers, employees and any contributors to this site harmless
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site. If you do not agree to the above terms, please do not proceed.
These forms are provided to assist business owners and others in understanding important
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that no legal advice, accounting, or other professional service is being offered
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acceptable in one state may not be enforced the same way under the laws of another
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Keywords: legal forms, bankruptcy, collection claim
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