NAS Omaha: File a New Listing

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For professional results in keeping with your company's good image, call the professionals at NAS.

National Account
Systems of Omaha
PO Box 45767
Omaha, NE 68145
Telephone: 402-551-1955
Toll free: 866-513-1815
Fax: 402-551-1198

File a New Listing

First Responsible Person
	First Name
	Middle Initial
	Last Name
	Address

	City
	State	/ Zip Code
	Home Phone
	Date of Birth
	SSN

Present Employment
	Employer
	Address

	City
	State	/ Zip Code
	Phone

Spouse Information
	First Name
	Middle Initial
	Last Name
	Address

	City
	State	/ Zip Code
	Home Phone
	Date of Birth
	SSN

Spouse Employment
	Employer
	Address

	City
	State	/ Zip Code
	Phone

Bank Information
	Bank Name
	Address

	City
	State	/ Zip Code
	Phone
	Account Number

Legal Information
	Suit has been filed	Date Suit Filed (DD/MM/YYYY)
	Docket & Page Number
	County
	State

Account History
	Your Reference Number
	Date of last Charge
	Date of last Pay
	Amount Due

References
	Name	/ Phone
	Name	/ Phone
	Name	/ Phone

Emergency Contact
	Name	/ Phone
	Comments

	Your Email
	Client Number

This office has been hired as a debt collector. If you are a consumer with an account placed in our office for collections then this is an attempt to collect a debt and any information obtained will be used for that purpose. ©National Account Systems of Omaha. All rights reserved.

File a New Listing

First Responsible Person

Present Employment

Spouse Information

Spouse Employment

Bank Information

Legal Information

Account History

References

Emergency Contact