Debt Collection Validation Notice

CFPB_Debt-Collection-Validation-Notice_R14.pdf

Regulation F: Fair Debt Collection Practices Act

Debt Collection Validation Notice

OMB: 3170-0056

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North South Group
P.O. Box 121212
Pasadena, CA 91111-2222
(800) 123-4567 from 8am to 8pm EST, Monday to Saturday
www.NorthSouthGroup.com

To:

Person A
2323 Park Street
Apartment 342
Bethesda, MD 20815

Reference: 584-345

North South Group is a debt collector. We are trying to collect a debt that you owe to Bank of
Rockville. We will use any information you give us to help collect the debt.
Our information shows:

How can you dispute the debt?

You had a Main Street Department Store credit card from Bank
of Rockville with account number 123-456-789.

§ Call or write to us by November 12, 2019, to dispute all or
part of the debt. If you do not, we will assume that our
information is correct. If you write to us by November 12, 2019,
we must stop collection on any amount you dispute until we
send you information that shows you owe the debt.

As of January 2, 2017, you owed:

$ 2,234.56

Between January 2, 2017 and today:
You were charged this amount in interest:

+

$

75.00

You were charged this amount in fees:

+

$

25.00

You paid or were credited this amount
toward the debt:

–

$

50.00

Total amount of the debt now:

$ 2,284.56

§ You may use the form below or you may write to us without the
form. You may also include supporting documents. We accept
disputes electronically at www.NorthSouthGroup.com/dispute.

What else can you do?
§ Write to ask for the name and address of the original
creditor. If you write by November 12, 2019, we will stop
collection until we send you that information. You may use the
form below or write to us without the form. We accept such
requests electronically at www.NorthSouthGroup.com/
request.
§ Learn more about your rights under federal law. For
instance, you have the right to stop or limit how we contact
you. Go to www.consumer nance.gov.
§ Contact us about your payment options.
§ Review state law disclosures on reverse side, if applicable.
§ Póngase en contacto con nosotros para solicitar una copia de
este formulario en español.

✃
How do you want to respond?
Mail this form to:
North South Group
P.O. Box 121212
Pasadena, CA 91111-2222

Check all that apply:
o I want to dispute the debt because I think:
o This is not my debt.
o The amount is wrong.
o Other (please describe on reverse or
attach additional information).
o I want you to send me the name and
address of the original creditor.

Person A
2323 Park Street
Apartment 342
Bethesda, MD 20815

o I enclosed this amount:

$

Make your check payable to North South
Group. Include the reference number 584-345.
o Quiero esta forma en español


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