Leikin, Ingber & Winters, P.C.

Michigan Collection Attorneys
Attn: Paul Ingber
3000 Town Center, Suite 2390
Southfield, Michigan 48075

Office 248-353-1070

Facsimile 248-353-1447

Email pingber@liwpc.com

Website attorneysonline.us/liwlaw.htm

To place an account with our firm simply fill out the form below and click the submit button!  Once the account is received, our representative will contact you.
Debtor Information

Debtor Name

Address 1
Address 2   Contact
 City  State Zip Code
Amount Due$
Debtor's Bank
Your File Number
Guarantor Phone
Mail Returned Yes   No E-mail 

Debtor History - Please Check All That Apply

No Response        Check Returned        Disputed       Mail Returned
Claims Inability To Pay       Phone Disconnected       Other

Please Include Any Additional Information Below in the Comments Box

Creditor Information
Full Name
Company Name
Address 1
Address 2

Terms and Conditions

Please institute no proceedings, incur no expenses, make no compromises and/or grant extensions without written authorization.   All payments less your commissions must be remitted as received.  Collect interest wherever possible.  Claimant prefers all correspondence be conducted through our office.

This account is forwarded in accordance with the operative guides and receivers adopted by the Commercial Law League of America, to which we subscribe.  Failure to acknowledge claim, answer letters, or follow claimants instructions, will leave claimant free to recall this claim without payment of commissions to you.  Report promptly the possibility of collections.  If suit is advisable, state exactly what papers and cost you will require.  Charges and disbursements due on other claims must not be deducted from the amounts collected on this claim.

If these terms are not acceptable, please return immediately stating the reasons.  Please acknowledge receipt, stating whether the terms and conditions are satisfactory.


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