# DEBTOR INFORMATION SHEET
## Debt Recovery Experts, LLC

Complete one sheet per debtor. The more complete the information, the faster and more effective the recovery. **Legal entity name must match the entity that actually owes the debt** — this determines the correct registered agent, service address, and (critically) whether a personal guarantee applies.

## Debtor Identification

| Field | Value |
|---|---|
| **Legal entity name** (exact) | {{debtor_legal_name}} |
| Entity type (LLC / Corp / Sole Prop / Partnership / Individual) | {{debtor_entity_type}} |
| DBA / trade name (if any) | {{debtor_dba}} |
| State of formation | {{debtor_state}} |
| Registered agent (name) | {{debtor_registered_agent}} |
| Registered agent address | {{debtor_registered_agent_address}} |
| EIN / Tax ID (if known) | {{debtor_ein}} |
| Website | {{debtor_website}} |

## Contact Information

| Field | Value |
|---|---|
| Primary contact name | {{debtor_contact_name}} |
| Title | {{debtor_contact_title}} |
| Direct phone | {{debtor_contact_phone}} |
| Email | {{debtor_contact_email}} |
| Business address (street) | {{debtor_address}} |
| City / State / ZIP | {{debtor_city_state_zip}} |
| Alternate address (branch/warehouse) | {{debtor_alt_address}} |

## Principals / Owners (for personal guarantee determination)

| Name | Title | Phone | Email |
|---|---|---|---|
| ________________________ | ______ | ______ | ______ |
| ________________________ | ______ | ______ | ______ |

## Banking / Payment Relationships (if known)

| Field | Value |
|---|---|
| Bank / financial institution | {{debtor_bank}} |
| Any known accounts receivable / lenders | {{debtor_ar_lenders}} |

## Personal Guarantee

Does a **signed personal guarantee** exist for this debt?

- [ ] **Yes** — a signed written personal guarantee exists (attach a copy). This is critical: without it, DRE cannot pursue an individual's personal credit or assets.
- [ ] **No** — this is a business-to-business debt only.
- [ ] **Unsure**

If yes, who signed the guarantee? {{personal_guarantee_signer}}

## Notes

________________________________________________________________________

________________________________________________________________________

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*Submit this sheet together with your claim substantiation (statement of account, contracts, invoices, proof of delivery, correspondence, and payment history). Recovery cannot begin until the complete packet is received.*