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FACSWEB
“We have received excellent collection results at a very low cost for over 25 years. We would definitely recommend Parson Bishop to any company that needs help with their receivables.”
—
Trade Show Exhibition
Services, OH
Serving Clients,
Nationwide,
Since 1973
Preferred Collection Plan Account Submission Form
Please use this form to submit accounts for collection
If you choose to fax this form,
CLICK HERE
for the PDF (requires
Adobe Acrobat Reader
)
CLIENT INFORMATION
Date Assigned
P·B Client # (if available)
Name
Phone
Address
City
State
Zip
DEBTOR INFORMATION
Debtor Name
Total Amount Due $
Date of Service
Address
City
State
Zip
Social Security #
Debtor Phone # A/C
Brief Description of Debt
CO-SIGNER INFORMATION
Co-signer Name
Co-signer Address
City
State
Zip
Co-signer Phone
Co-signer Social Security # (if available)
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