ACCOUNTS RECEIVABLE FACTORING Client Profile (Please Complete the following for referrals and fax to 517-381-8758) PK Mortgage & Financing Services, Inc. Phone No. 517-381-8757 Exact Legal Company Name Address City, State, Zip Contact Name Business Description DBA (if aplic) Years in Business Phone Fax Corp LLC Partnership Sole Prop. (Please Circle)
Receivable Information Average size of invoices Are Receivables Pledged as Security Elsewhere Listing of Principal Accounts Receivable/Clients Name of Clients City, State, Zip Telephone Average Monthly Billing Number of Invoices (Monthly) Yes No Estimated Monthly Billing If so, to whom? Explain
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