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Free Case Evaluation

Please answer as many of the following questions as you can.

 

Name:
Email Address:
Street Address:
City:
State:
Zip Code:
Home Phone Number:
Work Phone Number:
State of Residence:
What is the name of the debt collector/collection agency?
How are debt collectors contacting you? Letter
Home Phone
Work Phone
Cell Phone
Other
When was the last contact by either phone or letter?
How many times have you been called?
What type of debt are they attempting to collect? Medical Bill
Credit Card Bill
Utility Bill
Car Loan
Other
What is the amount of the debt?
Has the collection agency or creditor commenced a legal action attempting to collect the debt? Yes
No
Please explain in detail how you feel that you have been treated unfairly
 
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