Input Your Non-Paying Account For Immediate Action
Service Level	Assent Dispute Mediation and High Balance Debt Recovery (balances $10,000 or more) Premium 3rd Party Collection Service (balances less than $10,000) CollectorMentor (separate written fee agreement required) Bankruptcy Service (A/R only) Bankruptcy and Equipment Recovery Service Special Situation (separate written fee agreement required)
Commercial	Debtor is a company or contract worker buying for business purposes Debtor is a consumer buying for personal, family or household purposes Client is the debtor (Assent Service Level only, regardless of balance)
or Consumer    Select One
Documentation	Complete file and debt validation to follow Required documentation will be provided upon request No documentation is available to substantiate debt
ARMSCO may	90% of balance owed 80% of balance owed 70% of balance owed 60% of balance owed 50% of balance owed Best Possible Do not settle
settle for
Your Debtor's Account and Contact Information:
Account
Number
Company
Name
(if applicable)
First Name
Last Name
Tax ID or
Social Security #
Address
Address 2
City, State, Zip	,                             ,
Country	(if other than USA)
Phone	(Must format as xxx-xxx-xxxx, i.e., 888-663-8009)
Fax	(Must format as xxx-xxx-xxxx, i.e., 888-663-8009)
Annual	% (only if allowed by invoice or contract)
Interest Rate
Interest Earned	$ US           Other (specify amount and currency)
To Date
Principal	$ US           Other (specify amount and currency)
Balance Due
Attempt to	Yes No (only check Yes if fully executed sales agreement or contract exists)
Recover
Collection Fees
Date of Oldest	(Must format as xx/xx/xx)
Unpaid Invoice
or Charge
2nd Placement	Yes No
(Previously With
Another Collection Agency or Attorney)
Additional Information
Client Information:
Client Name
Your Name
Address
Address
City, State Zip
Phone	(Must format as xxx-xxx-xxxx, i.e., 888-663-8009)
Fax	(Must format as xxx-xxx-xxxx, i.e., 888-663-8009)
E-Mail
Fee Agreement: Please complete only one of the following for the Service Level you selected at top of page: Assent Dispute Mediation and High Balance Debt Recovery (balance $10,000 or more) I,  , agree to ARMSCO's published Rates, Terms and Conditions of placement. OR Premium 3rd Party Collection Service (balances less than $10,000) I,  , agree to ARMSCO's published Rates, Terms and Conditions of placement.
For help navigating this website and more information on our services... Please Call 888.663.8009
ARMSCO, Inc.  Post Office Box 1345  Englewood FL 34295-1345