Bill of Particulars TEMPLATE76

Download as pdf or txt
Download as pdf or txt
You are on page 1of 3

Leverageacademy7@gmail.

com 13 Dec 2022

BILL OF PARTICULARS
#DOC-XXXXXXXXXX
Verified Statement of Account
Non-Negotiable – Private Between the Parties

Account Debtor(s): Account Creditor:

COMPANY NAME CLIENT NAME


ADDRESS ADDRESS
ADDRESS ADDRESS

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:

Principal Amount Unauthorized-Use Locator Occurrences of Use Extended Amount

0 PLACE CHARGE 0 0

Total Amount Due


$0.00 USD

Bill of Particulars: - #DOC XXXXXXXXXX Certified Mail #


Violation of Copyright Notice and Self-Executing Security Agreement # [#DOC XXXXXXX IN VIOLATION page
Leverageacademy7@gmail.com 13 Dec 2022

BILL OF PARTICULARS #SMG-102281USB


The total amount of this Bill of Particulars #SMG-102281USB is (WRITE OUT FULL AMOUNT IN
WORDS LIKE IN A CHECK) dollars ($0.0 USD). This amount is now due and owing. Payable in full
is herewith demanded, payable in certified funds/check to the undersigned in full no later than
[AMOUNT OF DAYS BEFORE DUE DATE] days from [DATE DUE], late fees shall be assessed at
1% per day until paid in full. [Non-disclosure agreement available at debtor’s request] Remit to:

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

Bill of Particulars: - #DOC NUMBER Certified Mail #


Violation of Copyright Notice and Self-Executing Security Agreement # [#DOC XXXXXXX IN VIOLATION page
Leverageacademy7@gmail.com 13 Dec 2022

BILL OF PARTICULARS #SMG-102281USB


me and known to me to be the man whose name subscribed to the within instrument and
acknowledged to be the same.
Notary Public: _________________________________ (Seal)
My Commission expires: ________________

_________

Bill of Particulars: - #DOC NUMBER Certified Mail #


Violation of Copyright Notice and Self-Executing Security Agreement # [#DOC XXXXXXX IN VIOLATION page

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy