Consumer Collection Listing Sheet

Consumer Collection Listing Form
Debtor Information
DEBTORS NAME(S):
ACCOUNT NUMBER:
ADDRESS:
POSTAL CODE:
HOME PHONE:
WORK PHONE:
EMPLOYMENT:
ADDITIONAL:
SIN#:
D.O.B.:
AMOUNT OWING:
INTEREST RATE:
INTEREST RATE START DATE:
DATE OF LAST PAYMENT:
   
 
Client Information
Delinquent Account Listing Sheet.Your are hereby authorized to proceed with the collection of the accounts listed above, which we certify to be legally owing and unpaid. Any payment recieved by us, or merchandise accepted by us with your consent is considered to be payment and will be reported to you.
CLIENT'S NAME:
ADDRESS:
CONTACT NAME:
TYPE OF BUSINESS:
PHONE:
FAX:
Existing Client: Client Rep:

or print and fax our .pdf version

Collection listing sheet

*Forms are in .pdf format and are viewable in Adobe Acrobat or Adobe Acrobat Reader.
Please print the form(s) and fax them to: (604) 599-4367 or
mail them to: Wolfco Bailiffs 40376 Cascades Burnaby BC, V5G 4S2