Malen & Associates, P.C.

Account Authentication

In order to assure that your payment is properly received and accurately applied to your account you must fully complete this screen.

My account is not in dispute.

I have not previously requested verification of my account.

I am not represented by counsel.

I am not a petitioner in any pending bankruptcy petition.

This account has not been discharged in a bankruptcy.

6 Digit File Number with our office

Last Name/Business Name

Last 4 of SSN/TIN

Malen & Associates, P.C. • 888-461-2910
123 Frost Street, Suite 203 • Westbury, NY 11590 USA

Malen & Associates, P.C. is a debt collector, as defined by 15 U.S.C. §1692(a)(6), and this is an attempt to collect a debt. Any information obtained by us will be used for that purpose.