PAGE 1   Be sure to check all answers I have provided all the way to the end. The blanks I left must be answered correctly. I see that this document did not contain any miranda notice. The lawyer is a debt collector and is liable under FDCPA even though they have a judgment and they are attempting to collect on the debt. You should seriously consider filing a federal case on them over this violation. You don't need a lawyer to do that and learning how to prepare the paperwork is not difficult. You probably will never actually have to go to court. Such federal cases are done on the internet, by mail, phone and sometimes by email. You apparently have perfect proof of the violation right here and so what will happen once you get them to federal court and have your case all properly prepared you will get a flurry of paperwork and they will try to convince you that you can't win. Just hang tough and the court will order you to discovery which is known as Rule 26(F) under the federal rules of civil procedure. The court will instruct both parties that they are to hold meetings to see if a settlement can be reached and if not the case will go to trial. In the process the defendant (lawyer) will probably realize that he can't win and will want to settle. You would demand that the judgment be vacated and that they go away and leave you alone. You will also want them to pay your court costs of $350.00 plus attorney fees at the rate of $125 per hour for case preparation. Then you want $10,000 damages. You probably won't get that much but why not try? What have you got to lose? It is either that or pay up or learn how to play real hardball with them and how to keep them from even getting a garnishment in the first place. The choice is up to you.

In the District Court of _________, County, State of Oklahoma

NO. ____________

Date. _________________

QUESTIONS ANSWERED UNDER OATH TITILE 12 O.S. s 842

THIS IS AN ATTEMPT TO COLLECT A DEBT BY A DEBT COLLECTOR

ANY AND ALL INFORMATION WILL BE USED FOR THAT PURPOSE

INSTRUCTIONS: ANSWER EACH QUESTION. DO NOT LEAVE ANY BLANKS.

Name: First _________________________ Middle ____________ Last _________________

Circle if it applies: Jr. Sr. II III IV Rev. Dr.

Other names you have used including maiden names: __None____________________________

Date of Birth: __Irrelevant__________________________

Current Street Address: _______________________________

How long at this addr: ____________________irrelevant________

Addr. PO Boxes Used: ____None_______________________________

If you expect to move in the near future what will be your new address:

___________________________none__________________________________

Phone/Cell Numbers: __Plaintiff already has that information from defendant's filed documents________________________________

                            _________________________________

Social Security Number: __Refused  Privacy concerns and plaintiff already has that information_____________________________

If Renting: 

Name of Landlord: _____Irrelevant______________________________

Addr of Landlord: ______________irrelevant______________________

Is landlord a relative: ____irrelevant___________________

Amount of Rent: ________Give correct amount of rent or mortgage payment_____________________________

Rent Payments Current: yes no

Previous Address: __Irrelevant__________________________________

                        ____________________________________

Other Income, Benefits, or Money you receive:

Soc Sec: _Refused for privacy reasons______________________

SSI: ______answer all the rest of these truthfully__________________

Disab: _______________________

Rents: _________________________

Dividends: ______________________

Royalty: ________________________

Alimony: ________________________

Child Support: ___________________

Commissions: ____________________

Business etc: ____________________

Food Stamps: ____________________

TANIF: __________________________

Retirement: ______________________

Insurance: _______________________

Other*: _________________________

*describe: _______________________________________

INCOME CONTRIBUTED BY FAMILY

Attorney Notes: _____________________________________

PAGE 2:

Current or Most Recent Employer(s):

Name as shown on pay stub or W-2 form Employer Name:

__________________________________________________

Addr: _____________________________________________

Tele: _____________________________________________

Gross Pay: $______________

Items Ded: 

    Fed Tax: $_____________

    State Tax: $___________

    Child Sup: $____________

    Other Garn: $___________

    Med Ins: $_____________

    Other: ______  $_________

401k/retirement $___________

Net Pay: $_________________

weekly/biweekly/semi mo/monthly

Rate: $_______ per _________

Position: ___________________

Licenses Held: ______________

Union Membership: __________

IF UNEMPLOYED STATE REASON AND DATE YOU EXPECT TO BE EMPLOYED

_____________________________________________________________

DO YOU HAVE MORE THAN ONE JOB? YES NO

ARE YOU SELF EMPLOYED OR AN INDEPENDENT CONTRACTOR

FOR ANYONE? YES NO

IF YES:

Name: __________________________________________

NAME OF PERSON YOU REPORT OR ANSWER TO

Addr: ___________________________________________

Tele: ____________________

Gross Pay: $______________

DESCRIBE NATURE OF WORK

__________________________________________________

Business owned or operated by you:

Name of Business: __________________________________

Address: __________________________________________

Type of business: __________________________________

Legal form: Corp/LLC/DBA/Partnership

Others holding an interest in the business:

_________________________________________________

_________________________________________________

Banking affiliations of the business:

Checking: ________________________________

Loans: ___________________________________

Assets: Inventory: _________________________

Equipment: _______________________________

Real Estate: ______________________________

Contracts: _______________________________

Expenses: 

Mtg/Rent $______________________

Utilities:

     Nat Gas/Prop: $________________

     Electricity:     $________________

     Water:          $________________

     Tele:             $________________

     Cable:           $________________

Food:            $___________________

Child Care       $___________________

Gasoline         $___________________

Auto Ins:       $___________________

Medical Ins*:  $___________________

Medicine:       $___________________

Charity:         $___________________

Child Supp**  $___________________

Internet        $___________________

Other***      $___________________

*Is this already deducted from wages?

yes/no

** Describe (child age/divorce case no/amounts/whether deducted

by employer):

____________________________________________

____________________________________________

*** Describe: ________________________________

____________________________________________

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Bank, Savings, and Credit Union Accounts:

Bank Name #1

_________________________________________

Bank Address: 

_________________________________________

Account Number: __________________________

Who is listed as owners on the account:

_________________________________________

Balance Most Recent Stmt: $_________________

Amount of Deposits most recent month:

$_________________________________________

Bank Name #2: checking/savings

__________________________________________

Bank Address: 

__________________________________________

Account Number: ___________________________

Who is listed as the owners on the account:

__________________________________________

Balance Most recent Stmt: $__________________

Nature of deposits made: _____________________

Amount of Deposits most recent month:

___________________________________________

Bank #3? yes/no

Vehicles: 

#1 Make/Model/Year

___________________________________________

Loan paid to:

___________________________________________

Addr: ______________________________________

Amt Owed/pmt $___________  $________________

Current? yes/no   Payoff date: _________________

#2 Make/Model/Year

___________________________________________

Loan paid to:

___________________________________________

Addr: ______________________________________

Amt Owed/pmt $___________  $________________

Current? yes/no   Payoff date: _________________

#3 Make/Model/Year

___________________________________________

Loan paid to:

___________________________________________

Addr: ______________________________________

Amt Owed/pmt $___________  $________________

Current? yes/no   Payoff date: _________________

NAMES OF MEMBERS OF HOUSEHOLD LIVING WITH YOU:

Spouse: ___________________

Children: __________________

Roommates: ________________

Child support payments: 

Spouses Income

$______________ per ________________

Is this from a business owned or operated by your spouse? yes/no

If yes, describe: ________________________________

______________________________________________

Domestic Partner: ______________________________

______________________________________________

Did you bring:

1 Record of salary or other income for the past 2 months?

yes/no If no the reason for not bringing ___NO!_I don't keep such records______________________

2. Bank statements for the past 2 months; 

yes/no. If no the reason for not bringing: ___No. I don't keep old bank statements______________________

3. Income tax returns for the past 2 years;

yes/no. If no the reason for not bringing: __No  I don't keep old income tax records._______________________

4. All financial statements presented to any banks or lending institutions for the past 2 years;

yes/no. If no the reason for not bringing: _________________________If possible then say no.

5. Legal descriptions of all real estate owned, leased, or possessed; 

yes/no. If no the reason for not bringing: _________________________

6. All vehicle titles, copies of information relating to oil and gas royalty payments;

yes/no. If no the reason for not bringing: _________________________Don't take actual titles. Take copies only.

7. Accounting books of all businesses owned for the last 12 months; 

yes/no. If no the reason for not bringing: _________________________

8. Stock certificates, corporate books, stocks, bonds, and all other securities owned or possessed fot he last years;

yes/no. If no the reason for not bringing: _________________________

9. Safe deposit box information;

yes/no. If no the reason for not bringing: _________________________

PAGE 4

Circle all that apply and describe: 

Personal Property: 

Stock/Bonds/Mutual Funds: 

Retirement (IRA/401K):

Safety Deposit Boxes:

RVs/Trailers/Boats/Motorcycles:

Musical Instruments:

Jewelery:

Livestock or Farm Equip:

Agriculture products:

Coin or Stamp Collections:

Artwork:

Items being sold on consignment:

Judgements against others:

Annuities:

Life Insurance:

Inventory:

Office equipment:

Cash on hand today: $________________________

Describe:

___________________________________________

___________________________________________

Inheritance:

Is there any cases planned or pending including cases closed within the last 5 years 

where you were/are an heir, administrator, administratrix, or personal representative?

yes/no Describe:

Do you expect an inheritance in the near future? yes/no Describe:

Have you transferred any business, land, or personal property within the past 2 years?

yes no Describe:

Have you transferred any property to a trust or trustee? yes no Describe:

Are you the beneficiary under any trust? yes no

Are you a trustee of any trust? Yes No

Land owned/Contract for Deed:

What County _____________________________________

Addr: ___________________________________________

Name on title: ____________________________________

Yr purch: ____________

Purch. Price: $_______________

Amt Owed: $________________

1st Mtg Holder:

     Name: ____________________________

     Addr: _____________________________

 

No. Acres: ___________________________

Legal Descrip: _________________________

2nd Mtg Holder:

     Name: ____________________________

     Addr: _____________________________

No Acres: ____________________________

Legal Description: 

______________________________________

______________________________________

Additional Land, (lake properties, timeshares) owned

or being bought by you: 

_____________________________________________

_____________________________________________

Other Debts: 

Name Address                     Pmt Amt/Amt Owed

______________________________________________List all that you have. Be honest

PAGE 5

Title 12 O.S. s 850 states:

The judge after the hearing provided herein may order any property of the judgement debtor, not exempt by law, 

in his possession or under his control to be applied toward the satisfaction of the judgement and may enforce the same by proceedings for contempt in case of refusal or disobedience.

The judge may further order the judgment debtor to pay to the judgment creditor or apply on the judgment installments, such portion of his nonexempt income, however or wherever earned

or aquired, as the court may deem proper after due regard for any payments required to be made by the judgement debtor by virtue of law or prior order of a court under wage assignments outstanding. 

Where the judgement debtor claims or is proved to be rendering services or employed by a relative or other person or by a corporation owned or controlled by a relative or other person, without salary or compensation, or at a salary or compensation so inadequate as to satisfy that such a salary or compensation is merely colorable and designed to defraud impede the creditors of such debtor, the court may direct such debtor to make payments on account of the judgment, in installments, based on a reasonable value of the services rendered by such judgement debtor under said employment or upon said debtor's then earning ability. The court may, from time to time, modify an order made under this section upon application of either party upon notice to the other. A failure or neglect to comply with an order of direction of the court shall be punished as for comtempt. 

WITH THIS IN MIND HOW DO YOU INTEND TO RESOLVE THIS DEBT?:

_______________________________________________________________________________________________

Are you aware that it is standard procedure for a judgement creditor to file a judgment lein against your real estate? 

yes no

NOTICE: THIS HEARING DOES NOT DISCHARGE OR SATISFY THIS DEBT. 

A judgment creditor may resort to remedies allowed by law including requiring you to appear again at a later date. 

Interest as stated in the judgement continues to run on the account. 

I hereby certify upon my oath that the answers and information provided above are true and correct to the best of my ability:

SIGN HERE_______________________________   DATE: ________________________________________

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