J.P. Struntz & Associates
22647 Ventura Boulevard, #139
Woodland Hills, California 91364-1416
support@judgmentcollect.com
Phone: (818) 564-6652
APPLICATION FOR ASSIGNMENT OF JUDGMENT COLLECTION
Information submitted through the form below will give us a basic understanding of your requirements, in some cases its enough for a immediate quote, for some others we will contact you with a few questions before a quote can be submitted.
(
*
= Required Field)
Plaintiff(s):
*
Defendant(s)
*
Amount of Judgment:
*
Date Judgment Issued:
*
Court in Which Judgment Issued (for example, Los Angeles Superior Court, Central District):
*
Amount Previously Collected (if any):
*
Were you represented by an attorney?
*
Was your judgment awarded by default (defendant not present)?
*
Does defendant now reside in another state?
*
To your knowledge, has the defendant filed for bankruptcy?
*
If you have any information regarding Judgment Debtor, please list what type of information you have. i.e. (Do you have his or her DOB, SSN, bank account info, employer, real property info?)
First Name:
*
Last Name:
*
City:
*
State:
*
Phone Number:
*
Fax Number:
Your E-Mail:
*
Security Code
Please Confirm Security Code:
* Required
Thank you very much for your time.