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Nick Dunec
388 Main Street, Suite 2E
Monroe, CT 06468
Fax (347) 448-8490
Local : 203-880-5553
For fastest response:
Email: nick@madagency.com

Collection Placement Form
(Click here to go directly to the form)

WHAT HAPPENS WHEN YOU
PLACE AN ACCOUNT FOR COLLECTION?

We begin collection proceedings immediately upon receipt of your request by sending a letter advising the debtor that the account has been placed with Goldstein & Dun Associates Collection Agency.- we convey immediate urgency to the debtor. By law, as a collection agency, we are required to inform the debtor of his/her rights and provide him/her with pertinent information regarding his/her past-due account. Therefore, in our initial communication we include:

  • the name of the creditor
  • the amount due
  • the fact that the debtor has thirty (30) days from the date of the letter to dispute the claim or request verification of the debt

CLICK HERE for information on account updates.

CLICK HERE for important Frequently Asked Questions!

Once an account is placed with GOLSTEIN Collection Agency, you cannot continue to add interest or any other fees.  Cease sending out statements and any other collection efforts.  If the debtor contacts you in any way, refer him/her back to GOLSTEIN and let us know you have been contacted.

If the debtor pays you, you must advise us IMMEDIATELY and will will invoice you for the commission.  Reporting direct payments is required under the terms of our Collection Agreement.  If you receive a call from a debtor, let us know and we will return the call.

Placing an account with GOLSTEIN Collection Agency is simple!  Take a moment to complete the collection placement form below and we will immediately begin the collection process.

Minimum placement amount is $25.00 unless prior arrangements have been made.

IMPORTANT! PLEASE READ BEFORE SUBMITTING!
By submitting this information for placement with GOLSTEIN Collection Agency, you acknowledge and agree to the terms and conditions that require you to report all payments, bankruptcy notices, and any communications from the debtor directly to GOLSTEIN Collection Agency upon receipt or your knowledge of their existence.  You agree to immediately stop all collection efforts on your part, and to provide a copy of any paperwork that will verify the debt, as requested by GOLSTEIN Collection Agency.

You agree to pay any and all commissions owed
to GOLSTEIN Collection Agency if:


1) we directly collect any monies due to you by the debtor on this account,
2) we find that the account was previously paid by the debtor,
3) you withdraw the account after demand for payment has been made, or
4) you receive any monies directly from the debtor.

Placing accounts for collection is a serious matter.  Please be sure you have filled out the form as completely as possible and have read the terms and conditions. Please advise us immediately if you receive any payments or contact such as calls, letters, emails etc.

IMPORTANT - NEW CLIENTS!
Minimum placement amount is $25.00 unless prior arrangements have been made.
Please click here for our Collection Agreement in .pdf document form.  Please review, print, complete and fax this form to (800) 273-4960, mail it to the address above, or email it to clients@madagency.com.

 Please Complete The Form Below and Include
Additional Information in the Comments Box

  Please Enter the Debtor Information
Company Name (if a business owes you money)
Debtor Full Name
Address 1
Address 2
City
State
Zip Code
Amount Due$
Date Of Invoice
Last Pay Date
Home Phone
Work Phone
Cell Phone
Fax Number
Date of Birth
Drivers License #
Social Security Number
Mail Returned Yes   No E-Mail Address
Debtor History - Please Check All That Apply

No Response Check Returned Disputed Mail Returned
Claims Inability To Pay Phone Disconnected Other
Please Specific if Other

Please Include Any Additional Information Below in the Comments Box

If the debtor requests verification, we will email you to request it.
Please do not send backup paperwork unless it is requested.

  Please Enter Your Company Information
Your Full Name
Your Title
Your Company Name
Address 1
Address 2
City
State
Zip Code
Phone
Fax
E-Mail

Type of Business


    



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When to Place Accounts
Mission Statement
Goldstein & Dun Associates Collection Agency FAQs & Stats
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Collection Guide
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Copyright ©2005-09 Goldstein & Dun Associates Collection Agency.
All Rights Reserved. No portion of this site may be reproduced or redistributed
without prior written permission from Goldstein & Dun Associates Collection Agency.
All key phrases on this site are under copyright and trademark protection and may not be reproduced.  Some portions including "What Happens When You Place an Account for Collection" have been reproduced with permission from Michelle A. Dunn.