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Rejection of Claim and Report of Experience with Debtor(Letterhead of Collection Agency) To: _______________________________________ (Name of creditor) __________________________________________________________________ (Address of creditor) Receipt is acknowledged of your claim against __________________________________ (name of debtor) for $______________. We regret that we must reject this claim for collection at the present time. Our reason for rejection is indicated by a check mark preceding the appropriate statement below: 1. We are presently unable to locate the debtor. 2. To the best of our knowledge, the debtor is without assets, and we know of no way to enforce collection. 3. Our relations with the debtor are such that we feel we should not handle the claim. 4. The debtor has been through bankruptcy, and it appears that this claim has been discharged by bankruptcy. 5. We do not handle claims for (describe category of claim of creditor not handled) ________________________________________________________________________ _______________________________________________________________________________________________________________________________________________. 6. The debtor's whereabouts are unknown, and _________ (he/she) has no known property out of which collection can be enforced. Sincerely, ____________________________________ (Firm’s Name) ____________________________________ ____________________________________ (Signature and Office of Representative) Date: _____________________________

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