STEFANELLI.COM LLC

                                       BONDED & LICENSED                  
                                                COLLECTION SERVICES    
BONDED & LICENSED 

                                          We Collect When Others Do Not
                                                    No Recovery,  No Fee 
STEFANELLI .COM LLC

COLLECTION AGENCY

Contract Agreement  

                                                        
1. 33% of all sums recovered OR an other % when agreed to; use comment secton for iinputing the name of the collection represenative you talked to and the rate you both agreed to. (This is for large collection claims in the amount over Ten Thousand Dollars to be collected) 
2. No recovery, no fee
3. A status letter sent to you for each debtor
4. Your advised of all legal filings and court costs
5. Free Legal consultation for legal actions
6. Accounts not collected in 30 Days are immediately forwarded to our retained law firms for legal action, no cost to you
7. Submit this to agree with the terms above

In comment section is where you also can put the agreed collection rate amount that we talked about

             
COLLECTION APPLICATION FORM

STEFANELLI . COM LLC
COLLECTION SERVICES
BONDED & LICENSED
PO BOX 730 MONTVILLE NJ 07045

TEL: 973-331-0018                                              FAX: 973-331-0019
COLLECT@STEFANELLI.COM

"We Collect When Others Do Not"

No Recovery, No Fee

Fill out all information below and for multiple collections just fill out your company name & the contact person when entering your second and consecutive collection claim within the same day.
 
www.stefanelli.com
Fill in your contact information below:
Your name:
Your company's name:
The name (s) owner of the company:
The contact person for collections:
Your street address:
Your city address:
Your State and Zip Code:
Your phone number:
Your fax number:
Your E-mail:
Your cell phone number:
Collection Information About the Debtor (s):
Debtors first name::
Debtors middle name::
Debtors last name::
Debtors alternative name - nick name::
Debtors home street address::
Debtors home city address::
Debtors home state & zip code::
Debtors home phone number::
Debtors E-mail::
Debtors cell phone number::
Debtors Employment Job Title::
Debtors name of place of Employment::
Debtors Employment company FEIN number::
Debtors Employment street address::
Debtors Employment city address::
Debtors Employment State and Zip Code::
Debtors work phone number:
Debtors date of birth::
Debtors social security number::
Debtors driver licensed number & state::
DEBTORS SPOUSE INFORMATION TO BE FILLED OUT BELOW IF RESPONSIBLE FOR CLAIM::
Debtors spouse first name:
Debtors spouse middle name:
Debtors spouse last name:
Debtors spouse alternative name - nick name:
Debtors spouse home street address:
Debtors spouse home city address:
Debtors spouse home state & zip code:
Debtors spouse home phone number:
Debtors spouse E-mail:
Debtors spouse cell phone number:
Debtors spouse Employment Job Title:
Debtors spouse name of place of Employment:
Debtors Spouse Employment company FEIN number:
Debtors spouse Employment street address:
Debtors spouse Employment city address:
Debtors spouse Employment State and Zip Code:
Debtors spouse work phone number:
Debtors spouse date of birth:
Debtors spouse social security number:
Debtors spouse driver licensed number & state:
Other Debtors full name associated with this claim:
Home Address and Phone Number and other information about other party associated with the claim use addtional comment section or send and attachement to us.:
The date you last tried to collect from the Debtor:
What was the last type of attempt to collec this debt? Example made phone call, sent letter, used an attorney ect:
Date of this Claim sent to us for collection?:
Amount To Be Collected from Debtor:
The total amount of Debt to collect does this also include the collection/attorney fees? (Yes) (No):
Describe the type of Debt to Collect examples: Medical Bill, Invoice, Credit Card, Broken Contract, Rentals, Loan Payment, Unifinshed Work, Car Lease ect..:
Is a copy of the Invoice , Bad Check or Contract Agreement sent to us? (Yes) or (No):
If the above is (Yes) what method did you send this to us? Emailed - Faxed - Mail:
Assets of Debtor if Known:
Name of Debtors Bank or Other Financial Company:
Debtors Bank Account Numbers if Known:
Debtors Friends Names and Phone Numbers:
Addtional Comments About Debtor Or Situation:
Addtional Comments:
Addtional Comments:
Addtional Comments:
Addtional Comments:
No Recovery, No Fee:
Your Collection Represenative Name:
Collection %___ Agreed to if Different from the Contract Form above that was submitted to us.:



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