Notice of Assignment of Account to Collection Agent
for
Your State
Will serve as official notice that a creditor has assigned a debtor's account for collection. This form sets out the specific amount and interest due on the account and that all future payments should be made to the collection agency.
This form, for use in all states, is used to notify the customer that the past-due account has been formally assigned to the collection firm. It also informs the customer to make future payments on the account to the collection firm.
This form can be used in all states.
This form can be used in all states.
This is the content of the form and is provided for your convenience. It is not necessarily what the actual form looks like and does not include the information, instructions and other materials that come with the form you would purchase. An actual sample can also be viewed by clicking on the "Sample Form" near the top left of this page.
Number of Pages2
DimensionsDesigned for Letter Size (8.5" x 11")
EditableYes (.doc, .wpd and .rtf)
UsageUnlimited number of prints
Product number#22037
This is the content of the form and is provided for your convenience. It is not necessarily what the actual form looks like and does not include the information, instructions and other materials that come with the form you would purchase. An actual sample can also be viewed by clicking on the "Sample Form" near the top left of this page.