Kale Investigation Agency - Collection Assignment Form

P. I. ASSIGNMENT & AUTHORIZATION

This assignment is being made to conduct an asset and liability investigation of a debtor. Our office will do a general investigation, and gather on site information. If unable to contact the debtor, our investigator will leave collectors information with an employee or manager and have him call the collector ASAP.

Date of Assignment:

Collection Company Name:

Collection Company Telephone Number:
Ext:

Collection Company File Number:

Debtor Company to be Checked:

Debtor Company Description:

Contact Person:

Street Address:

City:

State:

Zip Code:

Telephone:

Company Owed:

Amount Owed:

Please interview the contact named above. Inform him/her of your assignment.
If investigator can observe any of the below, it would be helpful.

**Click the items you would like checked:**
Names of all Owners, Managers, Officers:
Product/Inventory, Brands/Manufacturer information:
Landlord, Building Rental Agent Name and Phone Number:
Business or Occupational License, ICC license, Liquor (ABC) license:
Vendor, Creditor, Bank information from mail on desks or questioning employees:
Client information: (who do they do business with?)
Please classify this company (size), by number of employees:
Square footage:
Activity noted:

Collector's Name:

Collector's E-Mail address:

Additional Information about the case:

Rush: Normal: