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