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SimpleTouchGroup-Law Office_____________ Office Use Only
     
Claim Placement Form
Creditor Information
Creditor Company Name:________________________________________
Date:___________________Address:___________________Ste./Apt._______________________
City:_______________State_______________ Zip:______________Country:__________________
Mailing Address (If different): ________________________________________________________
______________________________________________________________________________
Phone:(__________):_____________________Fax:(__________ ):________________________
Contact Name::______________________Email:_______________________________________
Debtor Information
Debtor is:
Corporation PartnershipSole Ownership
Debtor Company Name: ___________________________________________________________
Address: _______________________________________________________________________
City:_____________________________State:____________________Zip:___________________
Phone: (__________)____________________Fax: (__________)__________________________
Contact Name:______________________Title: _________________________________________
Email:___________________________________Original Amount:_________________________
Date of Original Invoice:_________________________________Social Security #:______________
Date of Last Payment:___________________________TOTAL DUE:_______________________
¾î¶»°Ô Çؼ­ 乫°¡ ¹ß»ýÇÏ°Ô µÇ¾ú½À´Ï±î (Loan, Sale of Goods, etc.):_________________________
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Simple Touch Group
4214 BEVERLY BLVD. STE 207
LOS ANGELES, CA 90004
TEL: 213-252-9550
FAX: 213-251-9890