Payment Record
| Case File Number: | Debtor | ||
|---|---|---|---|
| Attorney Responsible: | [Forwarder:] | ||
| Date File Opened: | Creditor: |
| Payment Record | To Attorney | To Client | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Amount received | Date received | Check # | Add’l charges | Balance owed | Remarks | Fees | Costs | Other | Amount | Check # |
|
Make a tickler for the next date when payment or receipt of other proceeds is expected. |