REQUEST VALIDATION

Request Validation

I want you to send me the name and address of the original creditor.

Name

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Phone

By checking this box you understand and authorize Merchants Adjustment Service to contact you in connection with the resolution or collection of your account(s) using the information you have provided. By providing an address you authorize Merchants Adjustment Service to contact you via mail with any written correspondence. By providing a valid email address, you authorize Merchants Adjustment Service to communicate with you via electronic mail to the email address provided. By providing your phone number, you expressly authorize Merchants Adjustment Service to contact you at this same number via pre-recorded or artificial voices messages, text messages and calls made by an automatic telephone dialing system even if will incur costs to receive such phone messages, text messages or emails. You also attest that both the email address, phone number and mailing address supplied belong to you personally and cannot be accessed or viewed by unauthorized parties.

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Request Validation

This communication is from a debt collector and is an attempt to collect a debt. Any information obtained will be used for that purpose.