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  • Client Information (Creditor)

  • Debtor Information

  • By submitting an account for collections using this form you hereby authorize Tucker, Albin & Associates (TA&A) to begin IMMEDIATE collection activities.  Please report all payments promptly.  Should the debtor attempt to contact you directly you hereby agree NOT to comunicate with the debtor and will refer them back to Tucker, Albin & Associates.  Cancelling/Withdrawaling an account submitted for collections will result in full commission to be due (TA&A).

    Thank You For Your Continued Trust!!!

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