Delinquent Account Collection History

$10.00
This is a form to track progress on a delinquent customer account and to note collection efforts.

Format: word_icon Microsoft Word

DELINQUENT ACCOUNT COLLECTION HISTORY

Name:: __________________________________   Phone: (____) ____-_________

Address: ______________________________________________________________

Contact: : ________________________________   Phone: (____) ____-_________

Date Account Opened:  [DATE}

Date Delinquent File Started::  [DATE}

Original Balance Due:  $_________

Date
Amount Paid
Balance Due
History of Collection Efforts/
Phone Calls/Letters
[DATE] $________ $_______ [DESCRIBE]
[DATE] $________ $_______ [DESCRIBE]
[DATE] $________ $_______ [DESCRIBE]
[DATE] .....    

 

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