Notice of Appointment of Collection Agent

for Your State

For use when an account has been turned over to an agency for collection. This notice sets out that the debtor must make future payments to the collection agent.

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This form should be used in conjunction with our "Appointment of Collection Agent" While the appointment form is used between your business and the collection service, this form should be used to notify the delinquent account of the appointment of the collection agent for the account. It instructs the customer to make payments to your company or contact the collection agent.

This form can be used in all states.
Number of Pages2
DimensionsDesigned for Letter Size (8.5" x 11")
EditableYes (.doc, .wpd and .rtf)
UsageUnlimited number of prints
Product number#22035
This is the content of the form and is provided for your convenience. It is not necessarily what the actual form looks like and does not include the information, instructions and other materials that come with the form you would purchase. An actual sample can also be viewed by clicking on the "Sample Form" near the top left of this page.





Notice of Appointment of Collection Agent







This Packet Includes:
1. Information
2. Notice of Appointment of Collection Agent
 





Information
Notice of Appointment of Collection Agent




This form should be used in conjunction with our “Appointment of Collection Agent.” While the appointment form is used between your business and the collection service, this form should be used to notify the delinquent account of the appointment of the collection agent for the account.  It instructs the customer to make payments to your company or contact the collection agent.







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NOTICE OF APPOINTMENT OF COLLECTION AGENT


Date: _________________________

To:


RE: Appointment of Collection Agent

Dear _________________________ :

Please be advised that as of _________________________ , 20 ____ , the firm of _____________ , located at _________________________ , City of _________________________ , State of _________________________ , has been appointed as agent for collection of the following account receivable balance:

Invoice # _________________________
Date _________________________
Amount $ _________________________

Invoice # _________________________
Date _________________________
Amount $ _________________________

Interest on account at _________________________ % (_________________________ percent)    Amount $ _________________________
Late charges Amount    $ _________________________
Less credits and payments    Amount $ _________________________

TOTAL BALANCE DUE    AMOUNT $ _________________________

You may continue to make your payments to our company or you may make further payment to the collection agent. Thank you.

Very truly,

___________________________
Signature

___________________________
Name

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