Appointment of Collection Agent

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Appointment of collection agent to collect on a delinquent account for use in all states.

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Through the use of this document, you appoint a collection agency to collect the delinquent account. This method of collection differs slightly from the actual assignment of the account for collection, in that the appointment of the agent for collection is only for a limited period of time and the fee which the collection agent earns is entirely dependent upon their ability to actually collect the money which is owed to you. This is known as a contingent fee arrangement. The collection agent may act on your behalf in attempting to collect the account, but does not have actual ownership of the account. You may limit the actions that the agent takes or spell out specific steps you wish taken with the special instructions. Generally, the payments will continue to be made to your company.

This for can be used in all states.
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.





Appointment of Collection Agent







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





Information
Appointment of Collection Agent




Through the use of this document, you appoint a collection agency to collect the delinquent account.  This method of collection differs slightly from the actual assignment of the account for collection, in that the appointment of the agent for collection is only for a limited period of time and the fee which the collection agent earns is entirely dependent upon their ability to actually collect the money which is owed to you.  This is known as a contingent fee arrangement.  The collection agent may act on your behalf in attempting to collect the account, but does not have actual ownership of the account.  You may limit the actions that the agent takes or spell out specific steps you wish taken with the special instructions.  Generally, the payments will continue to be made to your company.







DISCLAIMER:

FindLegalForms, Inc. (“FLF”) is not a law firm and does not provide legal advice. The use of these materials is not a substitute for legal advice. Only an attorney can provide legal advice.  An attorney should be consulted for all serious legal matters.  No Attorney-Client relationship is created by use of these materials.  

THESE MATERIALS ARE PROVIDED “AS-IS.  FLF DOES NOT GIVE ANY EXPRESS OR IMPLIED WARRANTIES OF MERCHANTABILITY, SUITABILITY OR COMPLETENESS FOR ANY OF THE MATERIALS FOR YOUR PARTICULAR NEEDS.  THE MATERIALS ARE USED AT YOUR OWN RISK.  IN NO EVENT WILL:  I) FLF, ITS AGENTS, PARTNERS, OR AFFILIATES; OR II) THE PROVIDERS, AUTHORS OR PUBLISHERS OF ITS MATERIALS, BE RESPONSIBLE OR LIABLE FOR ANY DIRECT, INDIRECT, INCIDENTAL, SPECIAL, EXEMPLARY, OR CONSEQUENTIAL DAMAGES (INCLUDING, BUT NOT LIMITED TO, PROCUREMENT OF SUBSTITUTE GOODS OR SERVICES; LOSS OF USE, DATE OR PROFITS; OR BUSINESS INTERRUPTION) HOWEVER USED AND ON ANY THEORY OF LIABILITY, WHETHER IN CONTRACT, STRICT LIABILITY, OR TORT (INCLUDING NEGLIGENCE OR OTHERWISE) ARISING IN ANY WAY OUT OF THE USE OF THESE MATERIALS.


 
 APPOINTMENT OF COLLECTION AGENT


This Agreement is made on _________________________ , 20 ____ , by and between _________________________ Seller, of _________________________ , City of _________________________ , State of _________________________ , and _________________________ , Agent, of _________________________ , City of _________________________ , State of _________________________ . It is regarding the Account Receivable due to the Seller from a customer of Seller, known as ___________________ , Customer, of _________________________ , City of _________________________ , State of _________________________ . As of this date, the Account Receivable balance is $ __________ .

For valuable consideration, the parties agree as follows:

1. Seller appoints Agent to collect this Account Receivable from Customer on behalf of Seller. Agent will be entitled to a contingent fee of _________ % (_________________________ percent) of whatever amount of the Account Receivable is collected by the Agent, payable to the Agent upon receipt of the collected amounts. Agent is also subject to the following special instructions:



2. Seller shall indemnify and hold harmless the Agent from any and all claims arising from the Account Receivable or the underlying contract between the Seller and the Customer. Agent shall indemnify and hold harmless the Seller from any and all claims arising from the Agent's collection efforts. Seller agrees to furnish the Agent all information required by the Agent in its collection efforts. Seller agrees to notify the Customer of this Appointment.


Dated: _________________________ , 20 ______

_________________________
Signature of Seller

_________________________
Name of Seller

_________________________
Signature of Agent

_________________________
Name of Agent
Number of Pages2
DimensionsDesigned for Letter Size (8.5" x 11")
EditableYes (.doc, .wpd and .rtf)
UsageUnlimited number of prints
Product number#22068
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.





Appointment of Collection Agent







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





Information
Appointment of Collection Agent




Through the use of this document, you appoint a collection agency to collect the delinquent account.  This method of collection differs slightly from the actual assignment of the account for collection, in that the appointment of the agent for collection is only for a limited period of time and the fee which the collection agent earns is entirely dependent upon their ability to actually collect the money which is owed to you.  This is known as a contingent fee arrangement.  The collection agent may act on your behalf in attempting to collect the account, but does not have actual ownership of the account.  You may limit the actions that the agent takes or spell out specific steps you wish taken with the special instructions.  Generally, the payments will continue to be made to your company.







DISCLAIMER:

FindLegalForms, Inc. (“FLF”) is not a law firm and does not provide legal advice. The use of these materials is not a substitute for legal advice. Only an attorney can provide legal advice.  An attorney should be consulted for all serious legal matters.  No Attorney-Client relationship is created by use of these materials.  

THESE MATERIALS ARE PROVIDED “AS-IS.  FLF DOES NOT GIVE ANY EXPRESS OR IMPLIED WARRANTIES OF MERCHANTABILITY, SUITABILITY OR COMPLETENESS FOR ANY OF THE MATERIALS FOR YOUR PARTICULAR NEEDS.  THE MATERIALS ARE USED AT YOUR OWN RISK.  IN NO EVENT WILL:  I) FLF, ITS AGENTS, PARTNERS, OR AFFILIATES; OR II) THE PROVIDERS, AUTHORS OR PUBLISHERS OF ITS MATERIALS, BE RESPONSIBLE OR LIABLE FOR ANY DIRECT, INDIRECT, INCIDENTAL, SPECIAL, EXEMPLARY, OR CONSEQUENTIAL DAMAGES (INCLUDING, BUT NOT LIMITED TO, PROCUREMENT OF SUBSTITUTE GOODS OR SERVICES; LOSS OF USE, DATE OR PROFITS; OR BUSINESS INTERRUPTION) HOWEVER USED AND ON ANY THEORY OF LIABILITY, WHETHER IN CONTRACT, STRICT LIABILITY, OR TORT (INCLUDING NEGLIGENCE OR OTHERWISE) ARISING IN ANY WAY OUT OF THE USE OF THESE MATERIALS.


 
 APPOINTMENT OF COLLECTION AGENT


This Agreement is made on _________________________ , 20 ____ , by and between _________________________ Seller, of _________________________ , City of _________________________ , State of _________________________ , and _________________________ , Agent, of _________________________ , City of _________________________ , State of _________________________ . It is regarding the Account Receivable due to the Seller from a customer of Seller, known as ___________________ , Customer, of _________________________ , City of _________________________ , State of _________________________ . As of this date, the Account Receivable balance is $ __________ .

For valuable consideration, the parties agree as follows:

1. Seller appoints Agent to collect this Account Receivable from Customer on behalf of Seller. Agent will be entitled to a contingent fee of _________ % (_________________________ percent) of whatever amount of the Account Receivable is collected by the Agent, payable to the Agent upon receipt of the collected amounts. Agent is also subject to the following special instructions:



2. Seller shall indemnify and hold harmless the Agent from any and all claims arising from the Account Receivable or the underlying contract between the Seller and the Customer. Agent shall indemnify and hold harmless the Seller from any and all claims arising from the Agent's collection efforts. Seller agrees to furnish the Agent all information required by the Agent in its collection efforts. Seller agrees to notify the Customer of this Appointment.


Dated: _________________________ , 20 ______

_________________________
Signature of Seller

_________________________
Name of Seller

_________________________
Signature of Agent

_________________________
Name of Agent

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