Notice of Assignment of Account to Collection Agent

for Your State

Will serve as official notice that a creditor has assigned a debtor's account for collection. This form sets out the specific amount and interest due on the account and that all future payments should be made to the collection agency.

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This form, for use in all states, is used to notify the customer that the past-due account has been formally assigned to the collection firm. It also informs the customer to make future payments on the account to the collection firm.

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#22037
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 Assignment of Account for Collection







This Packet Includes:
1. Information
2. Notice of Assignment of Account for Collection
 





Information
Notice of Assignment of Account for Collection




This form is used to notify the customer that the past-due account has been formally assigned to the collection firm.  It tells the customer to make future payments on the account to the collection firm.







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NOTICE OFASSIGNMENT OF
 ACCOUNT FOR COLLECTION



Date: _________________________

To:


RE: Assignment of Account for Collection

Dear _________________________ :

Please be advised that as of _________________________ , 20 ____ , the following account receivable balance has been assigned for collection to the firm of _________________________ , of _________________________ , City of _________________________ , State of _________________________ .

Invoice # _________________________
Date _________________________
Amount $ _________________________

Invoice # _________________________
Date _________________________
Amount $ _________________________

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

TOTAL BALANCE DUE    AMOUNT $ _________________________

Please contact the above firm regarding all future payments on this account.

Very truly,

_________________________
Signature

_________________________
Name

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