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Debt Acquisition Group, LLC Name of Transferee Name and Address where notices to transferee should be sent: 10 Rockefeller Center, Suite 601 New York, NY 10020 Phone: 212 265 7016 Last Four Digits of Acct #: ______________ Name and Address where transferee payments should be sent (if different from above):
Menasha Utilities Name of Transferor Court Claim # (if known): 1989 Amount of Claim: $6237.48 Date Claim Filed: 8/30/11 Phone: 920 967 3404 Last Four Digits of Acct. #: __________
Phone: ______________________ Last Four Digits of Acct #: ______________ I declare under penalty of perjury that the information provided in this notice is true and correct to the best of my knowledge and belief. By: /s/ Craig Ari Loren, Member Transferee/Transferees Agent Date: 11/16/2011
Penalty for making a false statement: Fine of up to $500,000 or imprisonment for up to 5 years, or both. 18 U.S.C. 152 & 3571.