Stone, Higgs & Drexler
Request for Attorney Demand Letter

Date:

Your Company Information

Submitted By:
Company:
FAX:
Email Address:

Address:
City:
State: Zip:

Name:
SSN:
Account #:

Address:
City:
State: Zip:

Balance (Net Payoff): $
Amount Past Due: $
If Settlement Offer: $
Cash to Settle By this Date:
Customer Needs to Contact:
Contact Phone:

Please include a copy of the contract

When we send the letter, we will mail you a copy, together with your bill

Fax to: Stone, Higgs & Drexler 901-528-1115