Debt Collector Disclosure Statement
Debt Collector Disclosure Statement
Respondent(s)/ Debt Collector: (1) Name, ChiefFinancial Officer RECOVERY SERVICES INC. (Debtor Collector) 22365 Main St Corona, CA zip USPS Certified Mail No. 700922500002902101 23
(2) Attorney 's Name ATTORNEY LAW OFFICE P.O. BOX 1899 VOORHEES, NJ 08043 USPS Certified Mail No. 70092250000290210123
DEBT COLLECTOR DISCLOSURE STATEMENT Notice to Agent is Notice to Principal - Notice to Principal is Notice to Agent
NOTICE: THIS DOCUMENT IS NOT INTENDED TO THREATEN, HARASS, HINDER OR OBSTRUCT ANY LAWFUL OPERATIONS. IT IS FOR THE PURPOSES OF OBTAINING LAWFUL REMEDY AS IS PROVIDED BY LAW. RE: RECOVERY SERVICES INC. Debt Collection Letter, dated 06/0112012; and ATTORNEY LAW OFFICE Debt Collection Letter, dated 06/01/2012
This statement and the answers contained herein may be used by YOUR ALL CAP. NAME if necessary, in any court ofcompetentjurisdiction.
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Notice: This Debt Collector Disclosure Statement must be completed in accordance with the Fair Debt Collection Practices Act, 15 USC 1692g, Title VIII Debt Collection Practices; Rosenthal Debt Collection Practices Act ("Rosenthal Act" or "RFDCPA"), California Codes, Ci vil Code Sec. 1788-1688-3; 809 of the Federal Trade Commission, applicable portions of Truth in Lending (Regulation Z), 1 2 C.F.R. 226, and Rule 13a-15(e) under the Securities Act of 1934, as amended (the "Exchange Act"); commands as cited above a DEBT COLLECTOR DISCLOSURE STATEMENT. The Debt Collector(s) must make all required disclosures clearly and conspicuously in writing regarding the following:
4. Alleged debt owed : $ --------------------5. Date alleged debt became payable: ------------------6. Name and Address of Original Creditor, if different from alleged Debt Collector?
7. Regarding this alleged account, if Debt Collector is different from Original Creditor, does Debt Collector have a bona fide affidavit of assignment to enter into alleged original contract between Original Creditor and a lleged Debtor? YES NO
8. Did alleged Debt Collector purchase this alleged account from the Original Creditor? YES NO 9. If applicable, date of purchase of this alleged account from Original Creditor, and purchase amount: Date: Amount: $ ---------------10.Did Debt Collector purchase this alleged account from a previous debt collector? YES NO
11. If applicable, date ofpurchase of this alleged account from previous debt collector, and purchase amount: Date: Amount:$ --------------------------Page 2
12. Regarding this alleged account, is the Debt Collector cunently the: (a) Owner; (b) Assignee; (c) Other, Explain: _
13. Has the Debt Collector provided the alleged Debtor with the requisite verification of the alleged debt as required by the Fair Debt Collection Practices Act or RFDCPA? 14. Date said verification cited above in # 13 was provided alleged Debtor: Date: YES NO
------------YES NO
15. Was said verification cited above in #13 in the form of a sworn or affirmed oath, affidavit, or deposition?
16. Have any charge-offs been made by any creditor or alleged debt collector regarding tllis alleged account? YES NO 17. Have any insurance claims been made by any creditor or debt collector regarding this alleged account? YES NO
18. Has there been any tax write-offs made by any creditor or debt collector regarding this alleged account and 1099-0ID? YES NO
19. Have any tax deductions been made by any creditor or debt collector regarding this alleged account? YES NO
20. Has the Statute of Limitations expired on this debt? YES NO 21. Provide the Certified Copy(ies) for the Off -Balance Sheet Transaction, per the FAS 140, 166, 167, Federal Reserve FR 2069. 22. Provide the SEC Filing(s) including reports 10-K, 8-K, 424B2, CIK Number for the Fund, and CUSIP for the Fund associated to this allege account. If no SEC Filing is available, then provide the CUSIP, and date of transfer, and Form S-3 ("Registration Statement"). The Debt Collector(s)' failure, both intentional and otherwise, to complete and answer each point(s) "1" through "22" above, and return this Debt Collector Disclosure Statement, as well as provide consumer's Authorization Representative with the requisite verification validating the hereinabove- referenced alleged debt, constitutes Debt Collector's tacit agreement that Debt Collector has no verifiable, lawful, bona fide claim regarding the hereinabove-referenced alleged account, and that alleged Debt Collector tacitly agrees that alleged Debt Collector waives all claims against consumer and indemnifies and holds consumer harmless against any and all costs and fees heretofore and hereafter incurred and related regarding any and all collection attempts involving the hereinabove-referenced alleged account.
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AFFIDAVIT The undersigned hereby declares affinns, under penalty of pe1jury under the laws of the State of California, that the foregoing statements made in this Debt Collector Disclosure Statement are true and correct in accordance with the undersigned's best firsthand knowledge and belief.
Date
) )SS )
JURAT
Subscribed and sworn to (or affi rmed) before me on this day of , 20.l2., by , proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. WITNESS m y hand and official seal. Signature Notary Public Commission expires , 20_ _ [SEAL)
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The Debt Collector(s) must timely complete and return this Debt Collector Disclosure Statement, along with all required documents referenced in said Debt Collector Disclosure Statement. The Debt Collector's claims will considered incomplete, if any portion of this Debt Collector Disclosure Statement is not completed and timely return with all required documents to the Authorized Representative, which specifically includes the requisite verification, made in accordance with law and codified in the Fair Debt Collection Practices Act at 15 USC 1692 et seq., and which states in relevant part: "A debt collector may not use any false, deceptive, or misleading representation or means in connection with the collection of any debt," which includes "the false representation of the character, or legal status of any debt," and "the threat to take any action that cannot legally be taken," all of which are violations of law. RECOVERY SERVICES INC. , ATTORNEY LAW OFFICE should also be aware that sending unsubstantiated demands for payment through the United States Mail System might constitute mail fraud under federal and state law. If Debt Collector(s) does not respond as required by law, Debt Collector(s)' claims will not be considered and Debt Collector(s) may be liable for damages for any continued collection efforts, as well as any other injury sustained by Respondent. Failure to complete and return this Debt Collector Disclosure Statement shall acknowledge the debt uncollectable and deleted with all ma jor credit bureaus. Please allow thirty (30) days for processing after Authorizated Representative's receipt of RECOVERY SERVICES INC.'s and ATTORNEY LAW OFFICE's response. NOTICE DO NOT CALL: From date of this notice forward, Debt Collector, including attomey(s), are hereby noticed under provisions ofPublic Law 95-109, Section 805-C, THE FAIR DEBT COLLECTION PRACTICES ACT and Telephone Consumer Protection Act (TCPA) to DO NOT CALL. Consumer and Authorized Representative does not give consent to alleged Debt Collectors, to communicate regarding alleged account over the telephone, cell phone, home phone or work phone. Failure to comply by your organization(s), agent(s), assign(s), with this law will result in immediate filing of a complaint with the Federal Trade Commission and the Califomia Attomey General's Office. Failure to comply exposes your company to damages of five hundred dollars ($500.00) for each violation, also subject to trebling to one thousand five hundred dollars ($1,500.00) for each violation after first call. Delete all phone numbers in your database as it relates to this alleged account, and do not call. RECOVERY SERVICES INC., ATTORNEY LAW OFFICE, agent(s) and assignee(s), agree and authorizes YOUR ALL CAP. NAME, agents, and Authorized Representative, Upper and Lower Case Name, to record telephone communications between both party(ies) for comt records. If this matter is taken to comt, RECOVERY SERVICES INC. , ATTORNEY LAW OFFICE, may be liable for court costs.
The Debt Collector(s)' failure to respond within thirty days, as request herein with a full and complete response, prohibits any further collection activities, including transfer or selling of this debt to successor(s), and assignee(s). Date: ----All rights reserved By: Mary Little, Authorized Representative
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