To make a placement, please fill out the form below and we will contact you as soon as possible. Check here if you want a 10 day free demand Name of Creditor   Name of Debtor   Debtor Account Number   Debtor Address   Debtor City, State, Zip ,   Debtor Phone Number   Name of Person Assigning Account   Address of Person Assigning Account   City, State, Zip of Person Assigning Account ,   Phone Number of Person Assigning Account   Interest Start Date   Balance Owing   I/we assign the attached account to Crossfire Asset Management for collection. As your agent Crossfire Asset Management is authorized to accept payments or drafts for deposit and retain 25% of the amount collected as it’s fee. The net proceeds will be remitted to us. If an assigned claim should tender payment directly to our office we agree to promptly report the payment to Crossfire Asset Management and to remit any fees owing for that collection. Additional authorization is required to initiate litigation or compromise any assigned balance.   I Agree   Home | Services | Placement Form | About Us | Contact | Printable Flyer     recovery@CrossfireCollections.com