Debt Collection
Free Case Evaluation
Atlanta Lawyer Group
1401 Peachtree St., N.E. Suite 240
Atlanta, Georgia, 30309

Office:404-607-7100
Fax:404-607-7121
Your Name:*
Your Address:*
Email Address:*
Verify Email:*
Cell Phone:
Home Phone:
Office Phone:
Best Way to Contact You:

Your Relationship to the Debtor:
Debtor’s Corporate and/or Individual Name:
Debtor’s Address:
Debtor’s Phone:
Date of Last Contact with Debtor: //
Date of First Breach of Duty to Pay: //

Describe the Situation:
Is there an Agreement to pay attorney fees if contract is breached?:
Describe collection efforts to date:
Describe any documents you have evidencing the debt:
Names of any Witnesses:
Are you looking for an hourly or contingency fee relationship?:
Has the debtor threatened bankruptcy or claimed bad cash flow?:

I HAVE READ AND AGREE TO THE TERMS OF THE DISCLAIMER AND USE OF THIS EVALUATION FORM AS SET OUT HERE:

 

If you want to speak with someone in our office directly, please call 404-607-7100 (although filling out the form below would be very helpful to us).

All of your information will be kept strictly confidential.