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Fill and Sign the Appeals Panel Decision Manual Income Benefit Issues Form

Fill and Sign the Appeals Panel Decision Manual Income Benefit Issues Form

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In str u ctio n: T his i s a m odel l e tte r. A dap t t o f it y our f a cts a n d c ir c u m sta n ces. D A T E C ER TIF IE D M AIL R ETU RN R EC EIP T R EQ UEST EDN A M EC O M P A N YA D D R E S S L I N EC I T Y , S T A T E Z I P C O D E R e: Bala n ce D ue - $ D ear N A M E : W e a re s e n din g t h is l e tte r t o i n fo rm y ou t h at o ur r e co rd s s h ow t h at y our a cco unt i s s e rio usly delin quen t in th e a m ount o f $ . A s y ou k now , w e h av e r e ceiv ed y our p ay m en t o f $ f o r th e m onth o f D A T E , D A T E a n d D A T E . T his s till l e av es p ay m en t d ue i n t h e a m ount o f $ 11 11 f o r t h e m onth s o f D A T E a n d D A T E .I f y ou h av e a n y q uestio ns a s t o t h e a m ount w hic h i s d ue, p le ase l e t u s k now . O th erw is e , w e will g iv e y ou a n o pportu nity t o p ay t h e a m ount d ue b efo re s u it i s f ile d . T o a v oid l e g al p ro ceed in gs, fu ll p ay m en t o f th e to ta l a m ount d ue m ust b e re ceiv ed in o ur o ffic e w ith in th ir ty (3 0) d ay s a fte r re ceip t o f th is le tte r. N o p artia l p ay m en ts w ill b e a ccep te d . O th er th an th is le tte r, n o a d ditio nal de m an ds w ill b e m ad e u pon y ou t o p ay p rio r t o s u it b ein g f ile d .T H IS IS A N A TTEM PT TO CO LLEC T A D EB T A ND A NY IN FO RM ATIO N OBTA IN ED W IL L B E U SE D F O R T H AT P U RPO SE . U nle ss y ou c o nte st th e v alid ity o f th is in deb te d ness i n w ritin g, w e w ill a ssu m e t h at t h e d eb t i s v alid .If t h e t o ta l a m ount d ue i s n ot p aid t o o ur o ffic e w ith in t h ir ty ( 3 0) d ay s a fte r r e ceip t t h is l e tte r, su it m ay b e f ile d . If litig ati o n is n ecessa ry y our c o m pan y m ay b e lia b le f o r o ur a tto rn ey 's f e es a n d all c o sts o f c o urt.T his is a se rio us m atte r w hic h re q uir e s y our im med ia te a tte n tio n. W e lo ok fo rw ard to receiv in g y our p ro m pt a tte n tio n S in cere ly ,N A M E

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