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FREE Bad Check Collection Sample Agreement

 

Sample agreement

Sign Up with NorthStar:
Company Profile
 
Merchant Name:  
Tax ID:  
Address:  
City:  
State:  
Zip Code:  
Owner/Contact Person:  
Contact Phone:  
Fax:  
Email Address:  
Estimated # of Checks/Month:  
# of Locations and POS (point of service) locations requiring disclosure stickers: 
 
 
Payment Method Desired: Paper check Electronic deposit
Bank Name:  
Bank Routing Number: Leave blank unless you want your money returned electronically.
Client Account Number: Leave blank unless you want your money returned electronically.
Check Collections Options: Phase I Phase I & II
Phase II Selection: Automatic Selective  
Report to National Credit Bureaus:   YES NO
Legal Action to Include judgment/garnishment:   YES NO
Filing with local district attorney and/or law enforcement: YES NO
Requested length of time that items are to be in Phase II Collections: 6 Months 12 Months 18 Months
Return Items Mailed to Client Monthly?  YES NO

Ready to sign up?   Use NorthStar's secure sign up link.
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