Please make sure you provide an accurate Bonded Adjusting Service account number.

Payment information

Amount (min. $25.00):
Bonded Adjusting Service Account No.:
(example: 123456 or 123456-001 as found on your collection notice)

Credit card information

Credit Card Type:
Name on the Credit Card:
Credit Card Account No.:
Expiration Date (MM/YY):
Security Code:

Billing Address

Address:
City:
State:
ZIP:

Contact

Phone:
E-mail:
 
 
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This is a communication from a debt collector and is an attempt to collect a debt.
Any information obtained will be used for that purpose.