Collection Report

Date:

 

Account Name______________________________________________

Street ____________________________________________________

City________________ State_______________ Zip Code______________

 

Account Status:

Current $__________

30 days $__________

60 days $__________

90 days

or over $__________

Total Owing: __________________

 

Comment or agreement for payment from account:

 

 

Recommended action:

_____ Continue to extend credit

_____ Stop credit and accept payment plan

_____ Stop credit and enforce collection

 

____________________
Credit Department

 

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