Debt Batch Load Request (Credit Solutions)

Request to batch load debt

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* 1. Your Name:

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* 2. Your Email Address:

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* 3. Your State/Location:

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* 4. Your Department:

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* 5. Please list the client code for this batch load request:

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* 6. What system does this request relate to:

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* 7. Please list the number of debts to be loaded (e.g 100 debts):

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* 8. Please list the value of debt to be loaded (e.g $150,000.00):

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* 9. Where is this file located?

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* 10. Additional Information:

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* 11. Date Required:

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