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Debtor Information Sheet

To assist us in conducting our no cost, no obligation case assessment and/or collection efforts, please complete this form to the best of your knowledge. If no information is known on the debtor, please answer the area with "unknown" or leave blank.
Was this judgment won by default?
Were you represented by an attorney?
Date of the court judgment?

MonthDayYear
Date
Amount Awarded?
Court Address (if known)?
Court Case Number?
Debtor's Name?
Debtor’s last known address?
Is debtor currently residing at above address?
Debtor’s phone #?
Debtor's Date of Birth or approximate age?

MonthDayYear
Date
Debtor's Social Security Number?
Is Debtor in the military?
Branch/Rank/Station, if known.
Describe any garnishments or liens you have filed against the debtor?
Has the judgment debtor ever written you a check?
Is Debtor married?
If Yes, please provide spouse name, if known.
Is Debtor divorced?
When?, What State?, if known.
Does Debtor own a home?
If Yes, please provide address of property, if known.
Does Debtor own rental property?
If Yes, provide address, if known.
Does Debtor own a car(s)?
If Yes, provide any detail of the automobile, if known.
Does Debtor own any recreational vehicles?
Boats, RV's, airplanes, etc.
Is Debtor employed?
Place of employment, if known.
Is Debtor self-employed?
Provide occupation and name of business, if known
If unemployed. (Name of last known employer)
Does Debtor hold any State Occupational License?
Real Estate, Attorney, Contractor, Teacher, etc.
Address of any known bank accounts (current or previous)?
Do you have a picture of the Judgment Debtor?
Is the Debtor a fugitive from law or on probation or parole?
Provide details, if known.
Lives out of state?
Provide out of state address, if known.
Voluntary Payment Assessment*

Do you feel that if given the opportunity to avoid the embarrassment of enforcement, the debtor would cooperate in setting up a voluntary payment plan orDo you feel the Debtor would do everything possible to avoid paying this court order?Other
Would you be willing to waive collection of interest for prompt or regular payment(s) or immediate settlement offer?
If you are unable to attach documents with this online submittal, please send a copy of your court judgment (if available) via fax to 888-247-6787 or via email to enforcers@jrinstitute.com

Please feel free to make any additional notes that you think may be helpful in locating the debtor or his/her assets, or feel free to contact us with any questions or concerns.
File Upload

Upload a copy of your Court Judgment.
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Email Address*
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Phone*
Date*

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Date
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Debtor Information Sheet