Upload Collections Information

Upload a Spreadsheet

MINIMUM ACCOUNT ACCEPTED: $50.00

Consumer Account #

Name of Consumer

SSN #

Date of Birth

Mailing Address

Phone Number

Itemization Date

Original Balance

Fees

Interest

Payments

Total Balance Due

Driver's License #

Are You Holding Spouse Responsible

Yes No

Other Information

Attach proof of debt paperwork

Spouse Name

Spouse SSN #

Spouse Date of Birth

Spouse Mailing Address

Spouse Phone Number

Spouse Driver's License #

Comaker Name

Comaker SSN #

Comaker Date of Birth

Comaker Mailing Address

Comaker Phone Number

Comaker Driver's License #

Rental / Service Address (if applicable)

Client Account # with CBY

Client Name

Date

Address

Contact Phone Number

Contact Name