AMERICAN BUREAU OF CREDIT CONTROL
Collections & Investigations
* RED INDICATES REQUIRED FIELDS ** BLUE INDICATES ABCC USE ONLY **

Status 
ACCOUNT PLACEMENT NOTICE
Collector # 
D- 
Date 
  ABCC File Number      
The following accounts are sent to you for collection, subject to the terms and conditions per the ABCC brouchure.
WE HAVE ATTACHED A STATEMENT FOR EACH ACCOUNT
Debtor:
 Business
Address:
 Home
City/ST/Zip:
 Fax
Contact #1
 Cell
Contact #2
 Date of
 Last Charge
Soc.Sec.#:
 
Date of Birth or Approximate Age:      
 
 Collection Amount:
     ABCC Commission:
     Rate ____________ %

ABCC USE ONLY

ABCC USE ONLY

ABCC USE ONLY

    NOTES:_____________________________
 

WPA
CB
SUED
JUDG
PIF
 
 
 
 
 
 
_____________ PER MONTH
Judgement Date: _________
PRIN .__________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
    ___________________________________
______________________
    ___________________________________
______________________
    ___________________________________
______________________
    ___________________________________
______________________
    ___________________________________
______________________
    ___________________________________
______________________
IMPORTANT NOTE: WHEN DEBTOR CONTACTS YOU, ALWAYS REFER THEM BACK TO ABCC.  
PLEASE ATTACH:
1) Statement/Invoice
2) Credit Application
3) Disputes
4) NSF checks
5) Signed Agreements
6) All Information On Debtor
 
This is your authority to immediately proceed with the collection on this account at your existing rate and in accordance with your stated terms and conditions. ABCC commission rate on accounts $300.00 and under: 50%, accounts over $300.00: 25%, all legals or judgments 35%, accounts previously placed with another collections agency 50%, accounts forwarded to another state 50%, returned merchandise 15%, accounts that are past the statutes 50%.
We authorize ABCC to receive and endorse for the purpose of collection, any funds received by ABCC. ABCC will remit my portion of funds no later than the fifteenth of the following month. If I/we receive any funds directly, I/we will be responsible to notify ABCC immediately and pay ABCC their stated and agreed commission.
 
The venue of this agreement is at Diamond Bar, CA 91765.
  Date:
  
  Select One:                   
  Full Company Name/or Individual:
  Address:
  City: State:     Zip: 
  Signature: 
Print Name:
  C-
   Client Number		   Phone: Position: 
  Fax:  Alt Contact: 
  Cell:  Position: 

P.O. Box 5321 • Diamond Bar, California 91765 • (909) 861-1873 • Fax (909) 861-2054
e-mail: abcc@vividnet.com • web site address: www.abcollect.com