My validation form

Discussion in 'Credit Talk' started by connorw, Sep 15, 2003.

  1. connorw

    connorw Well-Known Member

    I'd like to say thanks to everyone here. I've been reading the site for a few days now and have gotten a lot of good info.

    I started reading this site since I'm trying to buy a house and when I looked at my credit reports there were a lot of wrong items on it, everything basically, and they all seem to stem from one cell account that's over three years old. I've gotten some of the items removed, but I'm having problems with Equifax getting me my credit report and two CAs keep "validating" the debt with the CRAs.

    So I decided to fight :) More on that in another post.

    This is my THANK YOU all post, my contribution to the fight if you will.

    I found a number of Validation letters and forms, thanks to all those who came before and gave me the idea and basic framework, but none I liked enough to use without some tweaking. Thus was born my validation form... two pages to strike fear (hopefully) into the hearts and minds of CAs and OCs everywhere ;-)

    I'm in Colorado, we have our own version of the FDCPA and a CA is required to have a physical office in the state with at least on efull tiem employee and be open to the public. You'll want to edit those parts to meet your own needs.

    I've converted my form to text, added editing notes etc from it's original MSWord doc format. I would be happy to supply the actual form (VERSION 4 now!) in MSWord to any who want it. Just reply here or whatnot or PM me if available and I'll send it.

    Thanks for all the help through all the posts here!

    Next message is the form.
  2. connorw

    connorw Well-Known Member

    And now for the form:

    Editing Notes:

    Where you see a line of "=" I have a bold line (underscore then <Enter> in MSWord)

    I will put formatting details inside of [ ] brackets for things like BOLD, CENTERED, etc.

    General formatting info:

    "CREDITOR DISCLOSURE STATEMENT", "Federal Fair Debt Collection Practices Act," "Federal Fair Debt Reporting Act" and

    "Colorado Fair Debt Collection Practices Act" are always in caps throughout the document.

    I used Times New Roman as the font, font size is 10 with the exception of the "legalese" as I call it at the bottom which is 5. It's 5

    becuase it makes it fit on two pages (front and back) AND because I think they should have a little small sized "legalese" thrown

    at them.


    [bold, centered, underlined]CREDITOR DISCLOSURE STATEMENT

    The following information is required to validate the debt as represented by the Collection Agency named below. This request for

    validation and the information required by the CREDIT DISCLOSURE STATEMENT is made pursuant to the Federal Fair Debt

    Collection Practices Act, the Federal Fair Debt Reporting Act and the Colorado Fair Debt Collection Practices Act.




    <Credit Agency Name> Information provided by:
    <city, state, zip> <letter, credit reporting agency>
    Account Number: <acc #> <date>
    Alleged Debtor: <name>
    Alleged Debt Amount: $<amount>


    [BOLD] The following information is to be completed by the Collection Agency:

    Name of Collection Agency: ________________________________________________________________________

    Legal Name of Collection Agency if different than above: ________________________________________________

    Collection Agency Account Number: _________________________________________________

    Name of Original Creditor: ________________________________________________________

    Address of Original Creditor: ________________________________________________________

    Name of Debtor: __________________________________________________________________

    Account Number: _________________________________________________________________

    Address of Debtor: ________________________________________________________________

    Amount of Debt purported to be owed: ______________

    Date It Became Payable: __________________________

    Was this debt assigned to the Collection Agency or purchased? ______________________________

    Amount paid if purchased: _________________________

    Commission for the Collection Agency if successful with assigned debt: _______________________

    Attach a copy of the agreement with your client that grants you the authority to collect on this alleged debt.
    Attach a copy of any agreement that bears the signature of the alleged debtor wherein he/she agreed to pay the creditor.
    Attach copies of all statements, and details of payments made, while this account was open.
    Have any insurance claims been made by any creditor regarding this account? If so provide full details.
    Have any judgments been obtained by any creditor regarding this account? If so provide full details.
    Have any negative tradelines been reported to any Credit Reporting Agencies regarding this alleged debt? If so, name the

    Agencies, the information provided, dates the information was provided to the Agencies. Include the address for each credit

    reporting agency information was submitted to.
    Provide details of any fees, charges, interest, etc applied by the Collection Agency.
    Provide the name and address of the bonding agent for the Collection Agency, in case legal action becomes necessary.

    [BOLD]Provide the following business information regarding the Collection Agency named above:

    Physical address of the corporate office of the Collection Agency, Post Office Boxes are not acceptable.

    Numbers and expiration dates of any business or professional licenses issued to the Collection Agency as required by local,

    county or state government through law, regulation, or government agencies. Attach Notarized copies of these licenses required for

    the State in which the Collection Agency physically resides.

    License number and expiration date issued by the State of Colorado. Attach Notarized copies of any licenses issued by the State

    of Colorado. Provide the physical address and phone number of the office maintained by the Collection Agency in the State of


    If the Collection Agency is incorporated, LLC, LP or LLP list the state in which the Collection Agency is registered, the name under

    which it is registered and the identification number associated with the Collection Agency.

    If required additional pages may be used so long as they are notated in such a way as to be easily referenced to this CREDIT



    The following information is required to be completed by the person completing this CREDIT DISCLOSURE STATEMENT:

    Name: __________________________________

    Title: ___________________________________

    Relation to the Collection Agency listed above (ie: employee): _____________________________________________

    Street address of your office: ________________________________________________________________________

    Suite, floor or office number of your office: _________________

    City of your office: ___________________ State of your office: __________ ZIP of your office: _________- ______

    Telephone of your office: _______________ Your Extension: __________ FAX of your office: ______________

    Date this CREDIT DISCLOSURE STATEMENT was completed: ___________________________________

    ____________________________________________ ___________________________
    Signature Date

    Print Name


    [CENTERED]Upon completion this CREDIT DISCLOSURE STATEMENT is to be returned to:

    [CENTERED, BOLD]<Name>
    [CENTERED, BOLD]<Address>
    [CENTERED, BOLD]<City, State, ZIP>


    Under the Federal Fair Debt Collection Practices Act, the Federal Fair Debt Reporting Act and the Colorado Fair Debt Collection

    Practices Act the burden of proof on an alleged debt rests with the Collection Agency. Failure to prove the validity of the alleged

    debt, making false or misleading statements, as defined in these Acts by a Collection Agency can result in administrative and

    legal action by the Federal Trade Commission and the Colorado Attorney General as well as civil action by the alleged debtor.

    Unsubstantiated, untrue or misleading information that can not be validated and is submitted to a Credit Reporting Agency is a

    violation of these Acts.

    Failure by the Collection Agency to complete this CREDIT DISCLOSURE STATEMENT, in its entirety, and return it within 30

    (thirty) days will be considered to be admission by the Collection Agency that the debt is not valid and can not be validated

    pursuant to the Federal Fair Debt Collection Practices Act, the Federal Fair Debt Reporting Act and the Colorado Fair Debt

    Collection Practices Act. Furthermore, it will be construed as your absolute waiver of any and all claims against the alleged


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