The Debt Masters Account Placement

If you wish to place multiple claims, please simply e-mail us and provide us with all your information along with all the information on the debtors that you wish to place. This way you won't have to enter your company information each time you place a new account.

Please provide the following informaton.

Your Company Information

Company Name:
Contact Name: *
Address: *
City: *
State: *
Zip/Postal Code: *
Country:
Phone: *
Fax:
Email: *
Date of Assignment: *
Most Recent Invoice Date: *

Debtor Information

Debtor Name: *
Address: *
City: *
State: *
Zip/Postal Code: *
Country:
Phone: *
Principal Bal: *
Additional Information: *

Attach Files

Accepted file types (pdf, doc, docx, gif, jpeg, jpg, png, rtf, txt)

Please start collection on this immediately at your usual rates. We will report any direct payments as soon as possible.

I have read and understand the terms and conditions set forth in the THE DEBT MASTERS AGREEMENT and agree all of those terms and conditions apply to all accounts assigned to TDM for collection.

Acknowledgement

I agree to the above. Date: December 5th, 2023