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I understand that this application neither obligates me to JRK Recovery Services nor does it obligate JRK Recovery Services to accept my case.
Fields designated by an asterisk are required!
Case number (if known):
*Amount of judgment:
*Amount collected to date:
*Date judgment was issued:
*State in which judgment was issued:
Were you represented by an attorney?
Was your judgment awarded by default (defendant not present)?
Does judgment debtor (defendant) now reside in another state?
Name of judgment debtor:
Last known street address of judgment debtor:
Last known city, state & zip of judgment debtor:
*Your Full name:
*Street address:
*City, state & zip:
*Telephone number (with area code):
*Email address:
Description of my case (please be brief but thorough):
