Place Your Account for Professional Recovery. We Will Take It From Here.

Place your account with our office for professional recovery and legal escalation when necessary. Submission is secure and does not obligate placement until the account is reviewed and accepted.

What Happens After You Submit

1

We receive your submission securely and review all account details and supporting documents.

2

Your account is evaluated for acceptance. A specialist contacts you to confirm and outline the recovery strategy.

3

Recovery begins. You receive updates throughout and a remittance within 15 days of funds clearing our trust account.

Client Information

Place your account with our office for professional recovery and legal escalation when necessary. Submission is secure and does not obligate placement until the account is reviewed and accepted.

Business / Client Name

Contact Name

Phone Number

Email Address

Mailing Address

Debtor Information

Debtor Business / Individual Name *

Debtor Contact Name (if available)

Debtor Phone Number

Debtor Email Address

Debtor Full Address

Account Details

Invoice / Reference Number

Original Amount

Current Balance

Date of Default

Short Description of Debt

Supporting Documents

Certification & Submission

I certify that the information submitted is accurate to the best of my knowledge and I authorize Professional Mitigation Services, Inc. to review this account for potential recovery services.

DISCLOSURE BELOW SUBMIT BUTTON — COPY EXACTLY AS WRITTEN

Submission of this form does not constitute acceptance of the account. All placements are subject to review, approval, and any applicable service agreement terms.

This communication may be from a debt collector. Any information obtained may be used for that purpose.