8/7/2019 (S) 1st B of C Ext of Time

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NON-NEGOTIABLE, NON-ASSIGNABLE

The Name (as seen on letter received) Third Party Mailing

c/o Address (as seen on letter received) (Certified Mail Number)

City, State 95002

Todays date, Month 30, 2005

Debt Collector Name (Add correct name from corporate search)Address

City, State 77060

Subject: Breach of Contract and Extension of Time

Reference: 1. Account Number4246 3019 7328 5414, Debt Collectors Name Number472965170

2. Your Letter, dated 1-30-05

Sir;

On January 1, 2005,The Name (as seen on letter received), requested verification of the debt you are

trying to collect. Debt Collector Name has failed to provide the verification as requested in the allotted

time allowed. Debt Collector Name has now caused The Name (as seen on letter received) a

commercial injury in the amount set certain of12,000.00 (Same as on the Verification Request) U.S.Dollars or their equivalence.

I now extend an additional 20 days, (until Month 30, 2005) to provide the requested verification. Youmay send the verification to the above address.

If you fail again, I will again hold Debt Collector Name in Breach of the Contract, which will againcause The Name (as seen on letter received) an additional Commercial Injury with a penalty of an

amount set certain of12,000.00 (Same as before) U.S. Dollars. All collection costs to be paid by you

and if necessary a Lien may be entered against you upon your full Commercial Liability.

Terms for Injury Compensation are hereby stated and set certain:

For Commercial Injuries incurred, by the actions of Debt Collector Name the amount set certain is twelve thousand (12,000.00) U.S.Dollars or their equivalent. If this amount is not paid during the time allowed by the invoice, a penalty oftwo thousand (2,000.00) U.S.

Dollars or their equivalent will be added. In addition, both the amount set certain for the injury and the penalty amount, will bear and beginto accrue interest at ten (10) percent per annum, also an initial minimum collection fee of one thousand (1,000.00) U.S. Dollars or their

equivalent plus any additional collection cost will accrue to your debt and paid by Debt Collector Name. A Lien may be placed againstyou in the Commercial Register among other lawful remedies, which are collectable and will be paid out of Bank account funds.

Notice to Agent is Notice to Principal; Notice to Principal is Notice to Agent.

Presented,

by ___________________________________ Your Name,agent

This is a non-negotiable Legal Instrument under the Uniform Commercial Code (UCC)