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3rd party authorization form


This is an attempt to collect a debt and any information collected will be used for that purpose.

By clicking on the 'Pay Now' button you will be redirected to a page where you are able to make a secure payment.

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Click on the option most applicable to you.

I received a letter
If you have received a letter or notice and have a question, please contact our office at:
Receive Collections: 800-720-5675 or 574-243-9320
Email: collections@receiverecovery.com

Legal Department: 574-247-0862
Email: legal@receiverecovery.com
How do I make a payment?

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Phone

24 hour automated phone system
Toll Free: 800-824-5164
Telephone: 574-243-9320
Please have account number ready.
I wish to Dispute the validly of this debt
Unless you dispute the debt, or any portion of it, within 30 days after you receive a notice, we will assume the debt is valid. If you notify us by FILING A DISPUTE (see button below) within the 30 day period that you dispute this debt or any portion of it, we will obtain verification of the debt or a copy of the judgment and mail it to you. If the creditor mentioned in the letter is not your original creditor and you submit a written request within the 30 day period for the name and address of the original creditor, we will supply such information to you.

FILE A DISPUTE
I’ve been sued and need more information about my case
Click Here
Has my credit been affected?
We cannot tell you how the collection item will affect your credit. You must contact one of the credit reporting agencies:


Every consumer is eligible to receive a free annual copy of their credit report. This can be obtained by going to:



I wish to receive information on the Fair Debt Collection Practices Act
Fair Debt Collection Practices Act
ACH/EFT Authorization Form
Download ACH/EFT Authorization Form

Print, complete and submit form via the following options:

- Email: legal@receiverecovery.com
- Mail to Legal: Receive, PO Box 11266 | South Bend, IN 46634
- Fax to: 574-247-0865

About us


Receive is a licensed collection agency headquartered in Northern Indiana. Founded in 1999, Receive has more than 76 years of combined collections and legal experience. Bringing a combination of technology, responsiveness, and industry knowledge, Receive believes that the best outcomes for referring providers are achieved by working proactively with borrowers.

Receive has significant third-party collections experience with large medical practices, regional dentist practices, real estate managers, and commercial businesses. Receive is vertically integrated with an experienced team of collectors, paralegals, and in-house attorneys. Receive is a member of the American Collectors Association and is licensed in the states of Indiana, Michigan and Illinois.

Collections

P.O. Box 1811 | South Bend, IN 46634
Toll Free: 800-824-5164
Telephone: 574-243-9320
Fax: 574-243-9310
Email:  collections@receiverecovery.com