How do I submit the Certification of Delinquent Accounts form?

Send it to Sharp Collections, Inc., at the PO Box address or email listed on the form.

Do I need a notary for the Certification of Delinquent Accounts?

No. This document is signed and dated without a notary, and it identifies no attachment or related step that must be notarized or sworn.

Farrell, PA · Mercer County

No notary required

Certification of Delinquent Accounts

This form requests a certification of delinquent accounts and records the person or property involved, billing dates, and total amount due.

What this form is

Use this form to request a certification of delinquent accounts from Sharp Collections, Inc. It records the date, recipient, delinquent name, property address or parcel number, billing dates, and total amount due. The document says completed certifications are valid for 30 days and directs requests for a later balance to require an additional certification request.

Who needs it

A person needing a certification of delinquent accounts for a name, property address, or parcel number can use this form to request one.

How to submit it

Send the request to Sharp Collections, Inc., at PO Box 81, 14 E Shenango St, Sharpsville, PA 16150, or use the email address listed on the form.

About notarization

This document is signed and dated without a notary; it does not identify any attachment or related step that must be notarized or sworn.

How to submit this form

1
Download The Form
Download the Certification of Delinquent Accounts form.
2
Complete The Request
Enter the date, recipient, delinquent name, property address or parcel number, billing dates, and total amount due.
3
Sign And Date
Sign and date the completed form; no notary is required.
4
Send The Request
Send it to Sharp Collections, Inc., using the mailing address or email listed on the form.

Frequently asked questions

What does the Certification of Delinquent Accounts form request?: It requests a certification and records the recipient, delinquent name, property address or parcel number, billing dates, and total amount due.
How do I submit the Certification of Delinquent Accounts form?: Send it to Sharp Collections, Inc., at the PO Box address or email listed on the form.
Do I need a notary for the Certification of Delinquent Accounts?: No. This document is signed and dated without a notary, and it identifies no attachment or related step that must be notarized or sworn.

Need something notarized?

This Certification of Delinquent Accounts doesn’t need a notary — but if you have another Farrell form that does, a commissioned online notary can help.