Credit Repair 2

Add this document to the Validation Letter below to protect your consumer rights.

CREDITOR/DEBT COLLECTOR DECLARATION

Please provide all of the following information and submit the appropriate forms and paperwork within 30 days from the date of your receipt of this request for validation.

Alleged Creditor‘s name & address: ____________________________________________________

Name on File of Alleged Debtor: __________________________________________________________

Alleged Account Number: _______________________________________________________________

Address on File for Alleged Debtor: _______________________________________________________

Total amount of alleged debt: $________________________________________________________

Date alleged debt became payable: ______________________________________________________

Date of original charge off or delinquency: ________________________________________________

Was this debt assigned to or purchased by debt collector: ______________________________________

If debt was purchased, what amount was paid: $_______________________________________________

Commission for debt collector if collection efforts are successful: $____________________________

Please attach a copy of any signed agreement that grants you or a client the authority to collect this alleged debt.

Please attach a copy of any signed agreement alleged debtor has made with any debt collector, or other verifiable proof that alleged debtor has a contractual obligation to pay any debt collector.

Please attach a copy of any agreement bearing the alleged debtor‘s signature, indicating alleged debtor’s liability to pay alleged debt.

Please attach copies of all statements while this account was open.

Has any creditor regarding this account made any insurance claims? YES NO

Has any creditor regarding this account obtained any judgments? YES NO

Please provide the name and address of the bonding agent for Debt Collector, in case legal action becomes necessary:

_______________________________________________________________

___________________________________________________________________________________

Authorized Signature of Creditor Print Name & Title Date

You must return this completed form along with all requested information, assignments or other transfer agreements, which would establish your right to collect this alleged debt within 30 days from the date of your receipt of this letter. Your claim will not be considered if any portion of this form is not completed and returned with copies of all requested documents. This is a request for validation made pursuant to the Fair Debt Collection Practices Act. Please allow 30 days for processing after documents are returned to me.


DISCLAIMER

This guide is intended solely for informational purposes. No credit, legal, or financial advice is implied nor intended. While the information contained in this guide was carefully researched, accuracy and intended use are not guaranteed. No liability is claimed for any misfortune, loss, damage, or any negative outcome that may be incurred while using the information contained in this guide. Please consult a qualified attorney prior to utilizing any information contained herein.



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