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ACCEPTANCE OF CLAIM


Instructions

  1. After filling in the form, you will be prompted to confirm your order.
  2. Confirming the purchase will send you to PayPal to charge your credit card.
  3. After payment, PayPal will send you back to this website to see your finished document.
  4. All documents produced here are in PDF (Portable Document Format) and can be saved on your computer or viewed with an application like Adobe Acrobat Reader and printed.
  5. The documents produced here can optionally be sent by email as well.
  6. Fill in the entries as described.

Your name
Your address
Your city
Your state
Your ZIP code


(1) DATE
(2) NAME OF PERSON CLAIMING
(3) NAME OF PERSON BEING CLAIMED
(4) AMOUNT OF CLAIM
(5) A PERSONAL DEMAND IS MADE (Y/N)
(6) WILL REPORT IN ...DAYS
(7) CLIENT IS SLOW BUT USUALLY PAY (Y/N)
(8) DEBTOR TO BE SUED DO YOU AGREE (Y/)
(9) IF WE SUEE SEND..$ (AMOUNT)
(10) DEBTOR USUALLY PAYS CREDITOR (Y/N)
(11) DEBTOR IS BANKRUPT (Y/N)
(12) NUMBER OF CLAIMS WE HAVE COLL.FROM DEBTOR
(13) #
(14) DEBTOR DENIES YOUR CLAIM (Y/N)
(15) DEBTOR TOTALLY INSOLVENT (Y/N)
(16) NAME OF PERSON SIGNING

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