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The Firm - An experienced team providing litigation services to aid employees encountering employer misconduct
  Commercial Law - Recovering outstanding or recievable commercial debtand past due accounts


Questionnaire

The Firm collects commercial debts in state and federal courts.
Please tell us a bit about yourself and your claim:

We are a:

If other, specify here:

You will need to send us copies of the following documentation (if it is available): contracts, credit applications, purchase orders, invoices, account statements, correspondence regarding payment, previous checks received.

We would like to send you accounts receivable claims for collection in New York. Please send us more information on Levy Davis & Maher, LLP. Please contact me by:

e-mail
Phone

YOUR CONTACT DETAILS

Company/firm


Contact name


Mailing address


City


State


Zip


Country


Telephone


Fax


Email


What is the nature of your claim (for example, goods sold and delivered,
services rendered, etc.)? Please give details:


What is the amount of the claim?
$



Please tell us about the debtor:

DEBTOR'S CONTACT DETAILS

Company/firm


Contact name


Mailing address


City


State


Zip


Country


Telephone


Fax


Email
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