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Collection Service
Agreement SERVICE AGREEMENT This agreement is made and entered into by and between __________________________ (referred to as CREDITOR) and E. A. UFFMAN AND ASSOCIATES, INC, CSD COLLECTION SPECIALIST, (hereinafter referred to as EAU/CSD) to be effective the ______ day of __________________ 2008 or upon the receipt of accounts whichever shall first occur. The undersigned does hereby commission EAU/CSD, as our agent in the collection of our accounts receivable. As our agent, we authorize EAU/CSD, in its sole discretion, to personally contact, phone, correspond with or take whatever proper steps necessary to motivate the collection of our accounts pursuant to the following terms and conditions, to-wit: 1. EAU/CSD agrees to employ and provide the Creditor with
the following services: B. Agent will deposit collected funds in a collection trust account as required by state Office of Financial Institutions. C. Agent will provide monthly accounting of all funds collected no later that 30 days after the end of the month. The agent will submit to the Creditor the net proceeds (less commission due CSD). D. Agent has permission to list all accounts with Equifax, Experian and Trans Union National Credit Reporting Data Base. These accounts maybe by federal law reported to all inquiring credit grantors up to seven years based on your date of delinquency. E. All accounts are handled on a contingency fee basis. F. EAU/CSD will not be liable for any accounts that prescribe, due to the statute of limitations having expired while assigned for collection. 2. Creditor agrees to comply with and otherwise abide by the following conditions in the assignment of accounts receivable: A. A Creditor will not place for collection any account which by state or federal law is precluded or barred from collection at the time of placement. Creditor will ascertain that all charges assigned will be legally proper and just debts and that federal and state regulations have been met by the Creditor. B. Creditor understands that EAU/CSD must comply with the Fair Debt Collections Practices Act and in doing so must rely in part on the representations of the Creditor as to the amount of the account. C. Creditor will mark accounts on their system so as to identify all accounts assigned to EAU/CSD for collection. D. Creditor will promptly, within 3 days of receipt, report any and all payments from debtors or third parties on assigned accounts. E. Creditor will promptly notify EAU/CSD of any notices of Bankruptcy and will further provide information regarding any workman's compensation claim. Creditor will not place any account for collection that is reported to be in a bankruptcy. F. Creditor grants and conveys to EAU/CSD the right of endorsement in clearing drafts and checks for collection. G. Creditor will pay EAU/CSD for its services any invoice presented within 30 days of receipt. Failure to pay will result in a service charge of 1.5% per month. H. Creditor may for good cause in writing shown to EAU/CSD, withdraw any individual account prior to but not after it has been collected by EAU/CSD. Under no circumstances will Creditor withdraw an account where a settlement, payment or adjustment is expected by the debtor or a third party. Accounts placed that have already been paid will be charged a 15 percent (15%) set up fee. I. Creditor employs EAU/CSD Collection Specialist on a Fee Contingent Upon Collection to proceed with the Debt Resolution Process to be performed with EAU/CSD's usual policy and procedures on all accounts placed for collection. An account completed through the Debt Resolution Process may or may not be paid in full to creditor or EAU/CSD. J. Creditor agrees to pay EAU/CSD's contingent fee regardless of the source of payment, whether from the Consumer Debtor, his representative or any third party, (Medicare, Medicaid, FEMA, Workers' Compensation, Blue Cross/Blue Shield, also including receiving payments regarding uncompensated care charges that may result from a natural disaster, Commercial Carrier, Attorney Letter of Guarantee, Consumer Credit Counseling Service, etc.) And whether payment is made directly to Creditor or EAU/CSD. K. All recalled accounts are subject to an administrative service cancellation fee not to exceed fifteen percent (15%). L. Returned equipment is subject to a charge of one-half (½) our acknowledged fee. M. Creditor will inform their staff on all working conditions of service agreement with EAU/CSD. N. Accounts requiring legal action must have assignments or written authorization from the creditor. O. If and when creditor request a mass cancellation of accounts placed with EAU/CSD, Creditor must submit a list of accounts in question with current balances at time of request. P. EAU/CSD shall retain accounts which: 1. Are paying, have agreed upon payment installment arrangements; have promises to pay. 2.
Have insurance payments pending or being filed as a result of
information provided
by EAU/CSD. 4. Have attorney Letters of Guarantee. 5. Are in closed border states, as required by state law these accounts will be forwarded directly to pre-selected network agencies for collection. 6. When EAU/CSD has forwarded an account to another agency. 7. When EAU/CSD has the account on a signed note. 8. Are placed on hold per client's request. Q. Because of the Fair Debt Collections Practices Act, creditor agrees to respond to debtors request for certified itemized statements within five (5) days. 3. The parties agree that this contract shall renew itself from year to year on the same terms and conditions, unless or until one party shall give to the other a 30 day written notice of termination. Agreed to this ____________ day of _______________________________, 2008. E. A. UFFMAN & ASSOCIATES, INC. CREDITOR
By:____________________________ By:__________________________
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