Central Mercantile
Credit Services

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MEMAMEMA
A Licensed Service of MEMA Financial Services Group, INC.
Placement Form

Date:
Debtor Name:
Address:
City:
State:
Zip Code:
Phone:
Amount:

Supporting Documents

Statement, Invoices
Copy of security
Credit Report or
Financial Security
Copy of note
Copy of Personal Guarantee
Other
Name of Principle:

We request collection of this account which is not a consumer debt as defined by the Fair Debt Collection Practices Act, and we attach the enclosed statement and supporting documents. You are to begin with the following designated service: CLAIMS NOT DESIGNATED WILL BE MADE UP IN PERSONAL SERVICE.

FREE DEMAND
PERSONAL SERVICE
SMALL CLAIMS RATE
50% of accounts of $300.00 or less
$150.00 Minimum fee on accounts of $300.00 to $750.00

COMMERCIAL CLAIMS
Amounts collected on a per claim basis
between $750.00 and $3,000.00 - 20%
between $3,001.00 and $15,000.00 - 18%
over $15,000.00 - 15%

PREFERRED RATE SCHEDULE:
ON ALL CLAIMS PLACED IN PERSONAL SERVICE WITHIN 120 DAYS FROM DUE DATE
UP TO 10,000 - 18%
EXCESS OF 10,000 TO 30,000 - 15%
EXCESS OVER 30,000 - 12%

Add 5% to Personal Service rates.
INTERNATIONAL CLAIMS - 25%
Where Attorney services are needed rates may vary from Country to Country.
THIS ACCOUNT HAS BEEN DISPUTED BY CUSTOMER
Indicate below the nature of the dispute.
IT IS IMPORTANT THAT ANY DISPUTE BE REPORTED.

All NSF checks will go directly to Personal Service. Merchandise returns will be billed at 1/2 of applicable fees.

It is agreed that all payments reported to you within the 10 day FREE DEMAND period are not subject to a collection charge. Amounts are not accepted for FREE DEMAND only. Accounts are not subjected to withdrawal for reason of promise of payment, settlement, etc. without commissions being paid at the standard rates. If said claims are not fully paid they will automatically proceed to Personal Service, and if necessary to Forwarding Service. Commissions are charged at the applicable rate for the Service in effect as of the date payment notification is received by CENTRAL MERCANTILE CREDIT SERVICE.

CREDITOR:
Address:
City:
State:
Zip Code:
Phone:
Fax:
Email:
By:

SEND ADDITIONAL PLACEMENT FORMS

    OR   

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Visit our offices offices in Detroit, Grand Rapids,
Minneapolis, St. Louis or Philadelphia.

Central Mercantile Credit Services
822 E. Grand River, Brighton, MI 48116-1895
Phone: (810) 229-9385 Fax: (810) 229-5540
Toll free: (800) 223-6259
info@cmcs.com


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