Law Office of Alan D. Budman

 Commercial Collections

 Real Estate

 Bankruptcy

 Wills and Estates

 Personal Injury


1150 Old York Road
Abington, Pennsylvania  
19001
Phone: 215-884-1600
Email: adbudman@alanbudman.com
COMMERCIAL RECOVERY TRANSMITTAL FORM

Information About Your Company:
Name of
Company		Contact
Person
AddressTelephone
City, St,
Zip Code		Fax
State of
Incorp.		E-mail
Address
Information About The Debtor:
Name of
Debtor		Contact
Person
AddressTelephone
City, St,
Zip Code		Fax
State of
Incorp.		E-mail
Address
Date Last
Payment		Amount Owed
Is a Contract or Other Agreement in place?  
(Please Attach Document)
Brief Description of Goods and/or Services Provided to Debtor:
Please Attach ALL Invoices, Statements, Orders, Account History, etc.