Iowa Attorney General

Debt Collection Notification Online Form

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Notice: This system does not allow payment via credit card. The online payment option requires filers to enter bank account information to establish an automatic debit. If you do not want to pay online, select the Debt Collection Notification Printable Form and submit it along with your payment.

Company Information
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Company Locations

Please list the addresses for any additional company locations where debt collection occurs (branches, etc.).



Accepted Formats: Text Files, Word Documents, Excel Documents, PDFs
Accepted Formats: Text Files, Word Documents, Excel Documents, PDFs
Accepted Formats: Text Files, Word Documents, Excel Documents, PDFs
Company Contact

In the event that our office receives a complaint regarding your business, please provide the following details for the appropriate contact person.

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Applicant Information
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Each person or firm who files a notification shall pay the administration an annual fee of $10.00.
Please make checks payable to: Iowa Consumer Credit Administration Fund.

Persons who fail to pay the required fees in full within thirty (30) days of due date, January 31st, will be assessed a $25.00 late charge [Iowa Code §537.6203(4)].

The administrator may bring a civil action against a person for failure to file notification or to pay fees under the above provisions [Iowa Code §537.6113(3)].

*  Full name of owner, officer, or partner
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Filing for the first time:
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Please submit the completed form and annual fee no later than January 31 to:

Iowa Attorney General
Consumer Protection Division
Attn: Notification & Fees Administrator
1305 E. Walnut Street
Des Moines, Iowa 50319

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