Bill of Particulars TEMPLATE76
Bill of Particulars TEMPLATE76
Bill of Particulars TEMPLATE76
BILL OF PARTICULARS
#DOC-XXXXXXXXXX
Verified Statement of Account
Non-Negotiable – Private Between the Parties
In accordance with notice and terms contained within certain documents and affidavit sent to
COMPANY NAME in regards to “[DOCUMENT NAME]” notice, certain documents, exhibits,
Requested Information, Creditor/Debt Collector Declaration, an accounting of Federally Protected
Consumer Rights violations, conspiracy and criminal liabilities under title 18, your acceptance to
stipulations located therein, Bill of Particulars in the amount of the computation herein including
damages from COMPANY NAME allowed under federal law to be determined), is set forth as follows:
0 PLACE CHARGE 0 0
C.Client N.name
In care of:
CLIENT NAME Estate
ADDRESS
ADDRESS
This invoice is dated; { WRITE OUT FULL DATE IN NUMBER: Example: the Ninth Day of the
Eighth Month in the Year of Our Lord Two Thousand Twenty-One. [08/07/2021] }
The Undersigned CLIENT NAME, does herewith swear, declare, and affirm that the Undersigned has
examined this invoice and any accompanying schedules, statements, and documents and that, in
accordance with the best of the Undersigned’s knowledge and belief, this statement of account is true,
correct and complete. This declaration of CLIENT NAME is based on all information of which CLIENT
NAME has knowledge.
_________________________________________
CLIENT NAME
State of [STATE] )
County of [COUNTY] )
ACKNOWLEDGEMENT
SUBSCRIBED TO AND SWORN before me this ___________ Day of ____________, A.D. 2021,
A Notary, that _____________________________________________, personally appeared before
_________