Judgment Recovery
Docuserves
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Case Submission

If you have been awarded a court ordered judgement and would like to submit your case
information online for a free review, and assessment by Docuserves, please fill out the form
below with as much information as you can provide. The more information we receive the better
our assessment will be.

Plaintiff Information / Judgement Creditor

First Name: *
Last Name: *
Address Street 1: *
Address Street 2:
City: *
State: *
Zipcode: *
(5 digits)
Daytime Phone: *
Evening Phone:
Email: *

Defendant Information / Judgement Debtor

FIRST NAME: *
LAST NAME: *
ADDRESS 1:
ADDRESS 2:
CITY:
State:
Zipcode
(5 digits)
Spouses First Name:
Spouses Last Name:
Employers Name:
Self Employed:
Self Employed
Business Address 1:
Business Address 2:
City:
State:
Zipcode:
(5 digits)
Business Phone #:

Case Details

Case Number:
Amount of judgement:
Amount collected to date:
Date judgement was awarded:
Court judgement was awarded in:
State judgement was awarded in:
County judgement was entered in:
Was the Defendant / Debtor present at trial?:
Did an Attorney represent you?:
Type of Claim: Please give a brief description of the reason for your claim.:

Additional Information

Comments: