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PLEASE PROVIDE YOUR CONTACT INFORMATION

Name:    
Phone Number:
Best day and time to contact you — Day:    Time:
E-mail: (please check for accuracy)
Method you prefer to be contacted by — Phone:        Email:  

Please describe your situation/question:
(Include as much detail as possible.)


    

 

Application

ONLY FOR JUDGMENT RECOVERY REQUEST

I understand that this application neither obligates me to Confidential Investigations nor does it obligate Confidential Investigations to me. (All fields are required!)

Judgment Information

Case Number (if known)
Amount of Judgment:
Amount Collected to date:
Date Judgment was issued:
State in which judgment was issued:
Were you represented by an attorney? Yes:
No:  
Was your judgment awarded by default? (defendant not present) Yes:
No:  
Does judgment debtor (defendant) now reside in a different state? Yes:
No:  
Name of judgment debtor:
Last known street address of judgment debtor:
Last known city, state, & zip of judgment debtor:

Personal Information:

Full name:
Street address:
City, state & zip:
Telephone no:
E-mail address:

Description of my case (please try being concise but thorough):


    

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CONTACT US:

2911 Hamilton Blvd.#167
Sioux City, IA 51104
Tel: (712) 281-1980
Fax: (712) 560-0481

Licensed, Bonded & Insured
IA State License 0910

 

  
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