Madison Field Services
Connecting You With Your Customers
Phone no. 862-220-9707
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Agent Name
Borrower Name
Spouse Name
Job Number
Date Assigned
*Field call to
Business
Residence
Address
City
State
--Select--
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
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Indiana
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Kentucky
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Marianas Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Virgin Islands
Washington
West Virginia
Wisconsin
Wyoming
Zip
Address is
Vacant
Good
Bad
Does not exist
Occupied
Verified by
Debtor/Spouse
Neighbor
Friend
Relative
Not verified
Other
Residence type
SFR
Condo
Apartment
Complex
Contact information:
*Contact made with
Debtor
Spouse
Co-Signor
Other
Info Provided
Work Phone
Home Phone
Employer
Reason for Delinquency
*Payment Collected
Yes
No
Payment Type
Debtor/Spouse Contact not made
Interview Third Party
Left Letter With(Who/Where)
Collateral Condition:
*Is Collateral involved?
Yes
No
Observed
Yes
No
*Collateral Condition
Excellent
Good
Fair
Poor
NA
*Pictures
Yes
No
Color
Licence #
Mileage
Vin#
Comments
Report#
Field Rep
Code
Date/Time Chased
ABOUT US
Madison Field Services is an industry-leading provider of face-to-face borrower communications with the scale, experience and performance to deliver impressive and demonstrable results.
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CONTACT US
Tel.: 862-220-9707
Fax.: 877-563-4161
info@madisonfieldserivces.com
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