| Input
Your Non-Paying Account For Immediate Action |
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Service
Level |
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Commercial
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| or
Consumer
Select One
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Documentation |
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ARMSCO may |
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settle for |
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Your Debtor's Account and Contact
Information: |
| Account |
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Number |
| Company |
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| Name |
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(if applicable) |
| First Name |
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| Last
Name |
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Tax
ID or |
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Social Security
# |
| Address |
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| Address
2 |
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City, State, Zip |
,
,
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| Country
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(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) |
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Interest
Rate |
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Interest
Earned |
$
US
Other (specify amount and currency)
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To Date |
| Principal |
$
US
Other (specify amount and currency)
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Balance
Due |
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Attempt to |
Yes
No
(only check Yes if fully executed sales agreement or contract exists) |
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Recover
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Collection Fees
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Date of Oldest
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(Must
format as
xx/xx/xx) |
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Unpaid Invoice
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or Charge |
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2nd Placement |
Yes
No
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(Previously With
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Another Collection Agency or
Attorney)
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Additional Information |
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| Client
Information: |
| Client
Name |
| Your
Name |
|
Address |
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| Address |
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|
City, State Zip |
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| Phone |
(Must format as xxx-xxx-xxxx, i.e., 888-663-8009) |
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Fax
|
(Must format as xxx-xxx-xxxx, i.e., 888-663-8009) |
| E-Mail |
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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. |
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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
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