Debtor Information:
Name
Address
City/State/Zip
Type of Business
Individual Responsible
Amount Owed
Telephone #
Date of Sale
Date of last Payment
Invoice #

 

Your Company Information:
Name
Address
City/State/Zip
Type of Business
Individual Responsible
Telephone #

 

Comments:

We refer the above account to you for collection and you are authorized to proceed at once to collect the amount.  Commission will be charged on accounts paid in full, paid in partial, paid direct to you, or settled by return of merchandise.  You, as our agent are authorized to accept payments and to endorse checks, notes, money orders or drafts for deposit, the net proceeds of which you are to return to us.  Special authorization is required  by us  to file suit ,grant an extension, send the account to an attorney for litigation designated by us in the county of the debtor, to an attorney whose name appears in a Columbia Law List publication, upon prevailing rates in the area,

Any payments made direct to this office will be reported immediately.

 

399 Asbury Dr
Mandeville, Louisiana 70471
Toll Free:  888-830-3170 -- Fax:  985-875-2034

 

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