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Unifund
Prospective Buyer Application

If you are a prospective customer, Unifund would like to learn more about you and your particular business needs. Simply complete the questionnaire below and hit submit. You'll also need to read and sign the Confidentiality Agreement, and fax it to our office at (513) 247-2728.

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Company and Primary Contact Information

How did you hear about Unifund?* If other, please describe:
   
Company Name:* Title: Federal Tax ID:
 
First Name:* Last Name:* Suffix (Jr.,Sr.,III):
   
Street Address:* Suite/Floor:
 
City:* State:* Zip/Postal Code:* Country:
     
PO Box:
Company Main Phone Number:* Direct Phone Number:
Ext.    Ext. 
Cell Phone Number: Fax Number: E-mail Address:
Website Address:
Type of Organization: (Please Select)

If other, please specify:
 
What % of accounts do you litigate?: (Please Select)


Debt Buying Experience

Have you ever purchased debt?
Types of debt you purchase: (Check all that apply)







Preferred Average Balance: (Please Select All That Apply)

Preferred Account Age: (Please Select All That Apply)




List any geographical preferences: Number of Previous Purchases:
Size of Last Purchase (Total dollars spent):
Next Purchase Amount:
Expected Closing of Your Next Portfolio Purchase: (Please Select)



Company Information

Corporate Status: (Please Select)


If other, please specify:
 
State of Incorporation: Years in Business:
List all owners, partners, or officers:
Number of Employees:
Collectors Attorneys
Management/Administration All Other
In the last 10 years, has your company or any of its owners been convicted, litigated or investigated regarding your business practices or activities related to the buying/selling of financial assets/securities?
Do your business practices adhere to state and federal regulations?
What organizations/associations does your company belong to?


Trade References

Please provide two business references:
Entity Contact Phone Ext. 
Entity Contact Phone Ext. 
All statements and information provided in this application are true. I have verified the accuracy of the statements and information provided in this application. I have the authority to submit this application on behalf of my company/organization.
 
Name of person completing this application:
General comments or requests:
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