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In order to maximize the potential of a timely recovery in full, please provide us as much detailed information and documentation as possible about the assigned accounts. It is in this regard that we will be able to better serve our clients by getting true results.

Please submit your claims in any of the three following ways:

* Collection agencies and forwarders alike are encouraged to submit their claims by email or fax with their own completed placement forms. Such placements will be subjected to the "Operative Guides for Forwarders and Receivers" adopted by the Commercial Law League of America on July 6, 1994.

 

1. E-mail:
2. Fax:

+52 (664) 685-9196
Dialing from the USA: 011+52 (664) 685-9196

3. Internet:

The claim placement form that follows outlines basic account information needed for collection. To place a claim, please read our Terms and Conditions first, complete the form and submit it when finished.

Creditor/Client Information

Your Name:
Email:
Company Name:
Tel.No:

Debtor Information

Debtor:
Ref.#
Address:
City:
Prov/State:
Postal Code:
Telephone:
Fax:
Contact:
Title:

............................
Debtor is:
Corporation Partnership Sole Proprietorship


Total Owed




Interest Charged
Currency account is billed in?
Date of oldest invoice
Date of last payment
Terms of sale:

 

Open account
Documents against acceptance (D/A)
Documents against payment (D/P)
Letter of credit (L/C)

 

     

1.-Did buyer receive goods?

Yes No

2.-Did buyer accept bill of exchange?

Yes No

3.-Did buyer receive bill of lading (title documents)?

Yes No

4.-If buyer received goods without accepting bill of exchange, was a demand made on the negotiating bank or the shipping agent for the value of the goods?

Yes No

5.-Do you have a personal guarantee?

Yes No

No sufficient funds checks (NSF)

Broken Promises Avoiding

Disputed (Details attached)

Unable to contact Business Sold

 

Comments or Special Instructions

 

 

Supporting documents may be e-mailed in PDF format to claims@hmh-law.com, faxed to +52 (664) 685-9196, or sent by currier or ordinary mail to any of our addresses:

USA
P.O. Box 8162
Chula Vista, CA 91912-8162

Mexico
Calle Cuarta 1626-104, Centro
Tijuana, Baja California 22000


We, the Creditor named above, here by authorize Hernandez, Merigo & Hurtado (HMH) to act as its agent with respect to collection of the above claim. Creditor authorizes HMH to receive and endorse all checks issued in Creditor's name for deposit into HMH's Trust Account. Funds will be remitted to Creditor after deduction of HMH's fees. Creditor will be liable to HMH for its fees on any funds that Creditor receives directly from the above debtor. The account listed below is assigned to HMH for collection subject to HMH's standard Terms and Conditions.


 




 

 

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Hernández, Mérigo & Hurtado S.C.
Calle Cuarta 1626-104, Centro
Tijuana, Baja California, México 22000
Tel.: +52 (664) 685-1387
Fax: +52 (664) 685-9196
Email: info@hmh-law.com
Main Web Site: http://www.hmh-law.com