You are on page 1of 1

YOUR NAME

YOUR ADDRESS
CITY, STATE, ZIP
DATE:
COLLECTION AGENCY/LAW FIRM
ADDRESS
CITY, STATE, ZIP
On DATE, I exercised my right to request Validation in the form of a signed copy of the original
contract or written agreement concerning a disputed debt pursuant to the Fair Debt Collection Practices
Act (hereinafter FDCPA) 809[15 USC 1692g].
At this time you have failed to comply to this request and have ignored the protections that I am
afforded under the FDCPA involving my request to Validate this debt with a signed copy of the alleged
contract that we entered into when I opened this account. You have also refused to return the Creditor
Disclosure Statement that would have established your capacity as an agent of the true holder in due
course of this debt.
I am sending you this second request for Validation along with another copy of the Creditor Disclosure
Statement. Please comply with the FDCPA by responding to this second request within 10 days after the
receipt of this notice.
If you feel that the above-cited laws do not apply to you, or you firm please provide all documentation
that supports your position over the issues in dispute.
I hereby give you FINAL NOTICE that failure to comply with this second request for
validation hereby confirms that there is no contractual agreement between the
aforementioned parties and you have given up your rights in this matter.

Sincerely,
________________
NAME