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Name
Contact Info
Account Open Date
Charge Off Date
Forwarder Number
New Forwarder?
Name
Address
Address Continued
City
State
Zip
Phone
Fax
Contact Person
Opposing Party Name
Opposing Party Address
Opposing Party Address Continued
Opposing Party City
Opposing Party State
Opposing Party Zip
Creditor Name & Phone
Creditor Address
Creditor Address Continued & City
Creditor State & Zip
Fee Arrangement
Lloyd Attorney
Subject
Claim Description
Balance
Current Principal
Current Interest
Interest Rate
Total Balance
Internal PCLaw Information
File Number
Billing Rate
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