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Submit a Judgment for collection

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Your full Name :
Your Street Address :
Yourcity,State,Zip :
Your Telephone Number:
Your E mail address :
Does Judgment debtor (defendant) noe reside a in a differnt state? :
Last known street address of judgment debtor :
Last known city, state, & zip of judgment debtor :
Debtor SSN :
Case Number :
Amount of Judgment :
Amount Collected to Date :
Date Judgment was issued :
State in which Judgment was issued :
Country in which Judgment was issued :
Were you represented by attorney? :
Was your judgment awarded by default (defendant not present)? :
How did you hear about us? :
Please explain in comments :  
Comments or other Details of case: