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Collections: 90 Days Past Due
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BALANCE DUE: [balOver90]
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Sincerely,
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Normally, at this time, because your account is long past due, it would be placed with our collection attorney which could possibly affect your credit by placing a lien on property or garnishment of wages. However, we would prefer to hear from you regarding your preference in this matter.
PLEASE INDICATE YOUR CHOICE AND RETURN THIS FORM:
( ) 1. Please find enclosed my payment in full.
( ) 2. Please charge the balance owed to my
VISA, MASTERCARD, AMERICAN EXPRESS, DISCOVER (Circle which card)
ACCOUNT NUMBER______________________________________________
3 DIGIT SECURITY CODE (on back)__________________________________
EXPIRATION DATE_______________________________________________
SIGNATURE____________________________________________________
( ) 3. I will have payment in full to your office within TWO weeks
.
( ) 4. I will call this week to make payment arrangements.
( ) 5. I do not feel I owe the amount billed. If you do not feel you owe the amount
billed please explain below.
( ) 6. I do not intend to pay the bill. Please turn my account over for collection.
FAILURE TO RETURN THIS FORM OR TO MAKE PAYMENT WITHIN
TWO WEEKS WILL INDICATE YOU DO NOT INTEND TO MAKE PAYMENT
( ) 7. COMMENTS:
Please do not hesitate to call if you have any questions regarding this matter.
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