[quasimodo]

7. Date of purchase from previous debt collector and purchase amount:
Date: ______________________

Amount:$______________________
8. Transfer of rights re this account was executed by which of the following methods:
(a) assignment; (b) negotiation; (c) novation; (d) other – explain:
__________________________________________________ ___________________

__________________________________________________ ___________________

__________________________________________________ ___________________
9. Regarding this account, does the Debt Collector have a bona fide affidavit of assignment for entering into the purported contract between the original Creditor and alleged Debtor?
YES
NO
10. Has Debt Collector provided alleged Debtor with the requisite verification of the debt as required by the Fair Debt Collection Practices Act?
YES
NO
11. Date alleged Debtor was provided with the verification cited in # 10, supra:

__________________________________________________ ___________________
12. Was the verification cited in # 10, supra, executed in the form of a sworn or affirmed oath, affidavit, or deposition?
YES
NO
13. Verification was provided alleged Debtor in the form of:
OATH
AFFIDAVIT
DEPOSITION