Fillable Litigation Intake Information Sheet (Page 3 of 8) in pdf

Litigation Intake Information Sheet Page 3

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Complete Litigation Intake Information Sheet with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

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Dispute Information:

Please describe your complaint. __________________________________

____________________________________________________________

Who is calling or sending you collection letters or statements?

____________________________________________________________

Is this a collection agency? If so, do you know who the original creditor

was?

____________________________________________________________

What have you done to try and resolve your dispute? _________________

____________________________________________________________

What are your damages? Damages include things such as the cost of

repairs or replacement, lost time, and anything else this dispute has cost

you. ________________________________________________________

____________________________________________________________

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Litigation Intake Information Sheet Page 3

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