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Collection Agency Agreement

(Agreement between a creditor and an agency for a "contingent" fee attempt to collect from the debtor.)

Collection Agreement

[Name] Agency, Inc., referred to as Agency and [Name], referred to as Client, agree:

Agency represents that it is properly licensed, bonded, with a capable and trained (if required) staff of collectors, and can effect reasonable and lawful effects to collect accounts receivable of Client.

Client shall provide to Agency, from time to time, accounts receivable to collect. Client represents that any accounts which it turns over to Agency are legally due and owed. Client shall provide upon request to Agency source documentation for any and all accounts due, and, verification of any balance due.

Agency shall at all times conduct collection activity on behalf of Client in compliance with all lawful regulations and laws and shall hold Client harmless from any claims related to unlawful collection activity. A periodic report of the status of all collections shall be provided to Client by Agency at least every month.

Agency shall receive a fee of (--%) from all sums collected on behalf of Client. Agency may deduct from sums collected its fee; however, all sums which are due to the Client shall be held in a separate trust account. In the event that a debtor returns merchandise, the value for the purposes of the agreement shall be the net sales price received for the same, or if the merchandise is accepted by Client, 1/2 its wholesale value.

Client shall be entitled to, either itself or through designated agents, auditors and accountants, conduct audits of the books and records of Agency to verify accountings.

Client shall be entitled to withdraw accounts once assigned from Agency, however, if any collections are made as related to such accounts shall be reported to Agency, and the Agency fee paid.

Agency shall be responsible for all expenses related to its collection efforts, other than court costs and attorneys fees, if suit is authorized, and expenditure is approved for court costs and attorney's fees. Any suit fees or court costs shall be approved in writing prior to their expenditure.

Dated: _________________

________________________

Agency, Limited.

________________________

Client

*** If Required By State Law ***

This Section for Notary:

Acknowledgment

State of _________

County of ________ [County]

On [Date] before me, [Name of Notary], notary, personally appeared [Name of Person(s) Involved], personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

Witness my hand and official seal.

Signature ________
Notary

My commission expires: _____

(Seal)