[quasimodo]

30. What is the nature and cause of this external act(s) giving the objective semblance of agreement?
__________________________________________________ ___________________

__________________________________________________ ___________________
31. Have any charge-offs been made by any creditor or debt collector regarding this account?
YES
NO
32. Have any insurance claims been made by any creditor or debt collector regarding this account?
YES
NO
33. Have any tax write-offs been made by any creditor or debt collector regarding this account?
YES
NO
34. Have any tax deductions been taken by any creditor or debt collector regarding this account?
YES
NO
35. Have any judgments been obtained by any creditor or debt collector regarding this account?
YES
NO

Respondent’s failure, intentional and otherwise, in completing and returning Debt Collector Disclosure Statement, and providing Secured Party, i.e. Quasimodo, with the requisite verification validating the purported debt referenced here-in above, constitutes Respondent’s tacit agreement that Respondent has no verifiable, lawful, bona fide claim re the purported account referenced here-in above, and that Respondent tacitly agrees that Respondent waives all claims against Secured Party and indemnifies and holds Secured Party harmless against any and all costs and fees incurred heretofore and hereafter involved with any collection attempt concerning the purported account referenced here-in above.