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Place a Judgment

Complete the form below answering all required fields and providing as much information as you are able to and then click the "Send" button to submit the Judgment for Keynote Judgment Recovery, Ltd. (KJR) to process.

* Required entry

Your Contact Information:

   * Your Name:

     Your Company Name:
     (if applicable)

   * Phone:

Work:    

Home:    

 

Cell:

Fax:

   * Email Address:

   * Mailing Address:

      Best time to contact you:

Preferred Contact by:
      How did you hear about us:
Judgment Information:
   * Original Judgment Amount: (note: minimum amount is $1000 )
   * Date Judgment was Issued: (ex. MM/DD/YY)
   * Court that Issued the Judgment: (ex. Butler County Area II Court)
   * State that Issued the Judgment: (ex. Ohio)
   * Case Number: (ex. 08CVG00721)
   * Was the Judgment won by default? Yes     No
   * Has any money been collected already? Yes     No Amt Collected: (ex. $1000 )
   Describe any efforts that you have made already to collect the Judgment (phone calls, letters, past court actions like Garnishments or Liens placed on property)
Debtor Information: There is a section below for two Debtors.  If there is only one Debtor, skip the 2nd Debtor section.  If there are two Debtors but the information is the same (ex. car information), put the common information under the 1st Debtor section and complete only the information that is unique to the 2nd Debtor in the second section.  If there are more than two Debtors, fax or email the information in regard to the additional Debtors to us.

   1st Debtor

   * Debtor's Name:
   Debtor's Alias or Maiden Name:
   * Do you have an application from the Debtor with all their details? Yes     No 

(If yes, send the application to us and skip the questions below that are covered by the application)

  Phone:

Work:    

Home:    

 

Cell:

Fax:

  Email Address:

   * Gender: Male     Female
   * Date of Birth: (put approx. age if unknown) (ex. MM/DD/YY)
   Physical Description: (ex. Caucasian, brown hair, average height, heavy set)
   Social Security #er:

(if known)

  (ex.  xxx-xx-xxxx )
   * Have they ever written you a check? Yes     No If yes, please send us a copy of the check (front and back if possible)
 Drivers License Number: State: (ex. OHIO)
Last Known Address:
Owned or Rented last known Address? Owned     Rented
Own Additional Real Estate:
Car #1: (Year, Make, Model):
Car #2: (Year, Make, Model):
Other Property (boats, coins, real estate, cars, businesses):
Marital Status: Married     Single    Divorced

Employment:

* Employment Status: Employee    Self-Employed     Retired     Unemployed   Unknown
Company Employed of Self-Employed by:
Occupation:
Work Address:
Has declared Bankrupcty: Chapter 7     Chapter 13  No Date Declared:  (ex.MM/DD/YY )
Has Other Judgments Against them? Yes     No 
Hobby or Interests:
 Any other Details relating to this Debtor:
Do you feel the Debtor has a "pot to piss in"? Yes     No 
Do you feel the Debtor will do everything possible to avoid payment? Yes     No 
What is the relation between the debtors?

(Spouse, Friends, Related)

   2nd Debtor

   * Debtor's Name:
   Debtor's Alias or Maiden Name:
   * Do you have an application from the Debtor with all their details? Yes     No 

(If yes, send the application to us and skip the questions below that are covered by the application)

  Phone:

Work:    

Home:    

 

Cell:

Fax:

  Email Address:

   * Gender: Male     Female
   * Date of Birth: (put approx. age if unknown) (ex. MM/DD/YY)
   Physical Description: (ex. Caucasian, brown hair, average height, heavy set)
   Social Security #er:

(if known)

  (ex.  xxx-xx-xxxx )
   * Have they ever written you a check? Yes     No If yes, please send us a copy of the check (front and back if possible)
 Drivers License Number: State: (ex. OHIO)
Last Known Address:
Owned or Rented last known Address? Owned     Rented
Own Additional Real Estate:
Car #1: (Year, Make, Model):
Car #2: (Year, Make, Model):
Other Property (boats, coins, real estate, cars, businesses):
Marital Status: Married     Single    Divorced

Employment:

* Employment Status: Employee    Self-Employed     Retired     Unemployed   Unknown
Company Employed of Self-Employed by:
Occupation:
Work Address:
Has declared Bankrupcty: Chapter 7     Chapter 13  No Date Declared:  (ex.MM/DD/YY )
Has Other Judgments Against them? Yes     No 
Hobby or Interests:
 Any other Details relating to this Debtor:
Do you feel the Debtor has a "pot to piss in"? Yes     No 
Do you feel the Debtor will do everything possible to avoid payment? Yes     No 

You may submit this form in any of the following ways:

  • Click the "Send " Button above to email your information to us or

  • Print a copy of this form and fax it to (513) 631-7368 or

  • Mail to: Keynote Judgment Recovery, Ltd. 7672 Montgomery Rd., #340 Cincinnati, OH 45236

We will contact you as soon after receiving your form.  Thank you.

Note: All information on this form will be kept in the strictest of confidence. It will never be sold, traded, or given away without your permission. See the Privacy Policy link below for more information.

Keynote Judgment Recovery Ltd.'s  Privacy Policy

* Your information shall be kept secure and is 100% confidential 

    Please be advised that Keynote Judgment Recovery, Ltd. are not attorneys and thus we do NOT offer legal opinions or legal advice.  Do NOT interpret any of the information found on this website or any of our other marketing material as legal advice.  If you feel you need legal advise, please consult with an attorney registered to do business in your state.

 

 Send mail to Webmaster@keynoterecovery.com with questions or comments about this web site.
Copyright 2009