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 Washington,
 DC Registry   

 

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Your First Name:

 

Your Last Name:

 

Your Address:

 

City:

 

State:

 

Zip:

 

Day Phone:

 

Night Phone:

 

Best time to call:

 

Do you have a judgment or lien?:

 

Case #, if known:

 

County:

 

Court:

 

Court Phone, if known:

 

State in which judgment was issued:

 

Judgment Amount $:

 

Amount collected to date $:

 

Date of Judgment:

 

Interest Rate%, if known:

 

Were you represented by an attorney?:

 

Was your judgment awarded by default?:

 

Were attorney fees included in the judgment?:

 

Does your judgment debtor reside in another state?:

 

Information on Judgment Debtor
Name of Judgment Debtor:

 

Last known street address:

 

City:

 

State:

 

Zip:

 

Debtor's Home Phone, if known:

 

Debtor's Work Phone, if known:

 

 Your Email:
Brief but thorough description  of your case:

 

How did you find us?

 

   

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