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ACSI - Revenue Management Corporation Fax: 781-894-4899 I/WE ________________________Authorize ACSI - Revenue Management Corporation to commence immediate collection on the account(s) listed below. It is my understanding that ACSI - Revenue Management Corporation is a full service collections agent and is entitled to their agreed upon percentage on all accounts placed in collection by this office. Debtor Name_______________________________________________________________ Please forward copies of all related information, (i.e. Itemized Bill, NSF Check, Original Contract Submit Claim Creditors) Name_____________________________________________________________________
Please read and sign the contract below. COLLECTION AGENCY AGREEMENT: This agreement made and entered into on (date)_________________ by and between, _____________________ referred to as "client", and ACSI - Revenue Management Corporation, Incorporated., a collection agency licensed under and pursuant to the laws of the state of Massachusetts and the fair debt collection practice act, hereinafter referred to as "agent". WHEREAS, Client desires agent to undertake the collection of Client's delinquent accounts, in the manner and under the terms and conditions hereinafter set forth; WHEREAS, the parties contemplate a future course of dealing as Client and Agent, and to set forth a define herein the mutual rights, obligations, and liabilities of the parties hereto in such course of dealing. NOW, therefore, in consideration of the mutual premises, conditions and agreements of the parties hereto, it is hereby agreed. 1. Client appoints Agent to collect and receive all sums due and payable to Client for claims which the Client lists with the Agent. 2. Client warrants, that so far as known to Client, accounts assigned for collection is a valid and existing account against the debtor. 3. Agent shall have the authority to receive payment in check, cash, money order credit card and other instruments which may be received as payment. However, the Agent may not settle an account for less than eighty percent of the amount owed without prior authorization from the Client. 4. Agent shall use all lawful means to effect collection of accounts referred for collections, such as letters, telephone calls and skip tracing methods. 5. Client reserves to itself the decision whether its claims shall be placed in litigation. In event all ordinary and reasonable collection efforts fail, Client may authorize Agent in writing to retain an attorney for Client on prescribed terms and to commence litigation in the name of the Client. 6. All expenditures to effect collection of accounts shall be borne by Agent, excluding courts costs expended on accounts specially authorized for suit. 7. Client agrees to report weekly to Agent all payments, and any communication from the debtor. 8. Agent shall remit gross collections minus agreed percentage as described in item 18 of this contract. A report shall be given to the Client no later than the 15th day of the following month following the close of the previous month. Net moneys due the Client shall be remitted in full with a statement of each collection showing names in alphabetical order. 9. Agent shall provide a monthly acknowledgment of accounts listed indicating debtor's name, account number, balance due, total number of accounts, and total balance assigned. 10. Agent shall provide a monthly listing of accounts returned to Client as uncollectible with an explanation as to why. 11. Agent shall furnish a toll free "800" number for the Client. 12. Agent shall make records and account information available for Client audit and inspection at any time during normal business hours. 13. Agent shall be entitled to a commission for all accounts placed for collection. The commission for all accounts placed for collection. The commission shall also apply to all payments made directly to Client. 14. Agent shall also make available to Client upon request additional services related to accounts receivable management consulting, telephone collection. 15. Accounts assigned to Agent for collection under this agreement can only be accounts which have not been previously worked by or assigned to any third party agents, attorneys, or agency. Unless agreed upon by agent in item 18 of the contract. 16. Agent shall indemnify and hold Client harmless from any and all claims, demands, or cause of action that may asserted due to the activities of Agent on any account. 17. Client agrees to indemnify and hold Agent harmless from any and all claims, demands, or causes of action that may be asserted due to the activities of Client on any account. 18. Agent will charge 33% on all accounts less than six months old from the last date of service. Accounts over six months are subject to a 50%. Skip trace accounts are charged 50%. Secondary placements will be charged 50% of the gross collections. Payments received by Client and not reported to Agent within ten days is subject to a 50% fee. 19. Cancellation of the contract requires a ninety day notice by Agent or Client. By______________________________________Title_______________________________
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