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Client Informationsss

Work Number:

Cell Number:

Fax Number:

Work Number:

Cell Number:

Fax Number:

Debtor Information

Business Type

Work Number:

Home Number:

Cell Number:

Was interest charged?YesNo

Calculate from date:

Was Fee charged?YesNo

Calculate from date:

Judgement/Principal

Date of Judgement

Date of last charge/Invoice:

You have consent to call cellular telephone numbers associated with the Account using an Automated Telephone Dialing System, as defined by the Telephone Consumer Protection Act of 1991 (and as amended), 47 U.S.C. § 227.

YesNoDon't Know

SCHEDULE OF EARNED COMMISSIONS

between CEDAR HOLDINGS INTERNATIONAL, INC dba Cedar Financial and CLIENT mentioned above

Rate are based on a percentage of the amount collected by the AGENCY for the CLIENT, The commission structure will be as follows:

ON ALL ASSIGNED ACCOUNTS:

All Rates Are Contingent

25% on all Claims Assigned Pre-Legal

AGENCY may retain in its entirety any and all allowed additional fees, costs, or additional interest and fees received from the debtor above the balance placed by CLIENT. Fees will be due on all accounts collected, whether paid direct to creditor or to agency, or on accounts withdrawn after our demand has been made. A 3 (three) percent credit card fee will be charged to any credit card transaction listed on monthly remittance statement(s). The credit card transaction fee(s) are charged to CLIENT and offset by the remittance balance due to CLIENT. Credit card transaction fees are not added into any debtor account or charged to the debtor.

Fees will be due on all accounts collected, whether paid directly to creditor or to agency, or on accounts withdrawn after Agency demand has been made, according to the terms of the Agreement.

I agree and read the information to the rates and terms.

Client Informationsss

Debtor Information

Additional Information

SCHEDULE OF EARNED COMMISSIONS

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