talk to us about your debt

Help Us Identify You

Last Name,First M Spouse

Address City,State Zip Phone

Your Soc Sec# Date of Birth Employer Cell Ph#

Spouse Soc Sec# Date of Birth Employer Cell Ph#

If you wish for us to draft payment from your checking account, please supply the needed information below. There will be a $5.00 processing fee to draft the payment from your bank account.

Routing Nbr Account # Bank Name Bank City

$ to draft Date for Draft Name on Account

Your Comments

Does this information pertain to Check Pro or BMSI Credit Services?

This communication is from a debt collector for the purpose of collecting a debt. Any information obtained will be used for that purpose.

Talk to us About Your Debt

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Please identify yourself to us, and then use the box below to talk to us about your debt placed with us for collection. You may pay your bill by bank draft, propose a payment schedule, ask us a question, or advise us of a dispute. Please let us know where, how, and when we can contact you to follow up on your input. Please remember that this is an attempt to collect a debt, and that any information obtained will be used for that purpose.