This is an attempt to collect a debt by a debt collector and any information obtained will be used for that purpose.

Transcription

1 COLLECTION TECHNOLOGY, INC. P.O. BOX 2017 MONTEREY PARK, CA PRIORITY NOTICE Dear Borrower, Collection Technology, Inc. is dedicated to help you resolve your defaulted student loan(s). We have a team of experienced representatives available to assist you with completing the necessary forms for the settlement offer request. Contents of Settlement Offer Package American Student Assistance Settlement Offer Form Financial Statement Checklist of Items to Send Us Your completed American Student Assistance Settlement Offer Form Your completed Financial Statement Supporting Documentation of Income and Expenses One (1) month of your most recent payroll statements from your employer Mortgage, rental, or lease agreement Home/ Renter s Insurance Utility Bills (electric, gas, water, cable, cell phone, telephone) Transportation (car payments, public transportation, gas, insurance, etc.) Past due notices Child Care Other monthly expenses Federal Income Tax Return (most resent tax year) Termination or Shutoff notices (90-days or less) Additional Instructions You may include additional expenses on a separate sheet. You must provide evidence of all income and expenses listed on the financial statement with the exception of food, clothing, auto fuel and maintenance, and transportation. Form Return Information and Assistance Please contact our office at (877) if you have any question or need assistance completing the Settlement Offer Package. Return the completed settlement offer package along with your evidence of income and expenses to our office. Mail: CTi P.O. Box 2017 Monterey Park, CA Fax: (323) correspondence@collectiontechnology.com This is an attempt to collect a debt by a debt collector and any information obtained will be used for that purpose. ****IMPORTANT INFORMATION ON THE BACK OF THIS NOTICE****

2 Massachusetts Resident: NOTICE OF IMPORTANT RIGHTS YOU HAVE THE RIGHT TO MAKE A WRITTEN OR ORAL REQUEST THAT TELEPHONE CALLS REGARDING YOUR DEBT NOT BE MADE TO YOUR PLACE OF EMPLOYMENT. ANY SUCH ORAL REQUEST WILL BE VALID ONLY TEN DAYS UNLESS YOU PROVIDE WRITTEN CONFIRMATION OF THE REQUEST POSTMARKED OR DELIVERED WITHIN SEVEN DAYS OF SUCH REQUEST. YOU MAY TERMINATE THIS REQUEST BY WRITING TO THE COLLECTION AGENCY. Massachusetts Office: 5230 Washington Street, West Roxbury MA Hours 10:00 A.M. 3:00P.M. Consumers should not send any payments to the Massachusetts office. New York City Resident: This collection agency is licensed by the New York City Department of Consumer Affairs, License Number North Carolina Resident: North Carolina Department of Insurance Permit Number and Colorado Resident: FOR INFORMATION ABOUT THE COLORADO FAIR DEBT COLLECTION PRACTICES ACT, SEE This is a communication from a debt collector. This communication is an attempt to collect a debt. Any information obtained from this communication will be used for that purpose. Unless you notify us that you dispute the validity of this debt or any portion thereof, within 30 days after receipt of this letter, we shall assume this debt is valid. If you notify us, in writing, within the 30 day period, that you dispute this debt, or any portion thereof, we will obtain verification of this debt or judgment, if one exists, and will mail you a copy. Upon your written request, within the 30 day period, we will provide you with the name and address of the original creditor, if different from the current creditor. A consumer has the right to request in writing that a debt collector or collection agency cease further communication with the consumer. A written request to cease communication will not prohibit the debt collector or collection agency from taking any other action authorized by law to collect the debt. Local Office: E. Briarwood Ave. #340 Centennial, CO Local Phone: Tennessee Residents: This collection agency is licensed by the Collection Service Board, State Department of Commerce and Insurance, 500 James Robertson Parkway, Nashville, Tennessee Minnesota Residents: THIS COLLECTION AGENCY IS LICENSED BY THE MINNESOTA DEPARTMENT OF COMMERCE. California Residents: The State Rosenthal Fair Debt Collection Practices Act and the federal Fair Debt Collection Practices Act requires that, except under unusual circumstances, collectors may not contact you before 8 a.m. or after 9 p.m. They may not harass you by using threats of violence of arrest or by using obscene language. Collectors may not use false or misleading statements or call you at work if they know or have reason to know that you may not receive personal calls at work. For the most part, collectors may not tell another person, other than your attorney or spouse, about your debt. Collectors may contact another person to confirm your location or enforce a judgment. For more information about debt collection activities, you may contact the Federal Trade Commission at FTC-HELP or CTi s Hours of operation: Monday-Thursday 7:00 AM to 6 PM (PST), Friday 6:00 AM to 4 PM (PST) CTi s Street Address: 1200 Corporate Center Drive, Suite 325 Monterey Park, CA 91754

3 American Student Assistance Settlement Offer Form In order for us to consider your settlement offer, please complete the below form and return it to us via fax or mail. Thank you. Fax to: Mail to: Collection Technology, Inc. P.O. Box 2017 Monterey Park, CA to: ASA Account No. Current Balance $ Borrower s Name Settlement Offer $ State your dollar amount offer: Where are the funds coming from? Why should American Student Assistance settle? Please complete the attached financial statement & forward along with a copy of latest IRS tax form ( no settlement offer will be considered without a tax form).. When will the funds be available? Signature Today s Date Printed Name Last 4 digits of Social Security Number

4 Collection Technology Inc. CONFIDENTIAL FINANCIAL STATEMENT Your Name: Current Address: Your SSN: Household and Employment Information Home Telephone: ( ) Work Telephone: ( ) Employer: Job Title: Spouse s Name: Employer: Household Income and Expenses Monthly Income Monthly Expenses Monthly Net Spouse s Net Unemployment Social Security Benefits Alimony AFDC Child Support Parental Support Rental Income Interest/Dividends Other (*) Total Rent/Mortgage Property Tax Home/Renter s Insurance Condo Fee Food Clothing Cable TV Electricity Natural Gas/Heating Oil/Propane Water/Sewer/Trash Disposal Basic Phone Service Cellular Phone Car Payments Auto Fuel and Maintenance Public Transportation Auto Insurance Child Care Expenses ( # of children ) Child Support (# of children ) Entertainment Other Total - Continued on Back

5 I certify by my signature below that all information contained in this financial statement is true and complete and that no items have been omitted. I agree that this statement and the supporting documents shall remain the property of Collection Technology Inc.. Failure to provide sufficient supporting documentation or misstatements shall warrant immediate cancellation of consideration by Collection Technology Inc.. By my signature below, I attest to the accuracy of this financial statement and all supporting documents under the pains and penalties of perjury. BORROWER SIGNATURE: DATE: Supporting documents must be included with this financial statement Please do not send original documents. Return the completed document(s) by mail to: CTi, P.O. Box 2017, Monterey Park, CA 91754, or by fax to: (323) ; or by to: correspondence@collectiontechnology.com (for returning by , please attach scanned copies of the documents)