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Debt Collection and Commercial Litigation
  - Commercial Collections
  - Lien Filing
  - Retail Collections
  - Foreclosure
  - Bankruptcy Claims


Contact
Scott H. Marcus & Associates
121 Johnson Road,
Turnersville, NJ 08080
Phone: 856-227-0800
Fax: 856-227-7939
smarcus@marcuslaw.net






Submit a Claim


Forwarder Information

 Name:
 Address:
 City: State:   Zip:  
 Phone Fax:

Debtor Information

Debtor
Name:  
DOB:
 Address:
 City: State:   Zip:  
 Phone Fax:

Co-Debtor
Name:
DOB:
Address:
City: State: Zip:
Phone Fax:

Amount of Claim

Type of Claim

Principle Balance: $  
Interest @  % From  
Other: $
Total: $
Attorney Fee: %










Asset Information

Debtor's POE: Phone :
Address:
Co-Debtor's POE: Phone :
Address:
Bank: Phone :
Address:
 Account Type: Acct # :
Does debtor own property ?     If yes complete the following
Lot:   Block:    Parcel: 
Munipilaity:   Value: $ 


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