MY SETTLEMENT OFFER

Please complete the fields below and we will respond to your inquiry within 1 business day.

First Name: *
Last Name: *
Address Street 1:
Address Street 2:
City:
State:
Zip Code:  (5 digits)
Daytime Phone:
Evening Phone:
Cell Phone:
 Okay to call cell phone:

Place of Employment:
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You may call me at work if necessary:
Are you the debtor, please type "yes" or "no":  *
If not, name of debtor:
File Number:
Settlement Type:
Please submit in detail what type of payment you are offering:
                                                                     

This communication is from a debt collector. This is an attempt to collect a debt. Any information obtained will be used for that purpose.
Please type "yes" if you have read everything on this page. *