Filling out the Tort Claim: 1) U.S. Dept.

of Commerce Office of the Assistant General Counsel for Finance and itigation General itigation Di!ision 1"th Street and Constitution A!enue #$% &oom '()D $ashington% D.C. *+*,+-++++ Collection .tem / 0put the Certified num1er from green card) *) This is 2ust 3our name and Address ,) 4ust lea!e ") 5our date of 1irth ') ma6e a line 03ou sa7 it 1ut none of their 1usiness) 8) This could 1e the date of the 1st dishonor or date of first incident. 9) Time of incident if )11 7as called. () This 7ould pertain to Their Actions: :ention Their threats% la7suits% arrests% phone calls% propert3 sei;ures etc. Their failure to pro!ide remed3 after 3ou ha!e gi!en them the instruction. US< 3our documentation. Also include: CO <CT.O# .T<: / and put the post office Certification / in that 3ou are using to mail this as 7ell as an3 other items 3ou sent 13 certified mail that has 1een dishonored. Send originals if 3ou ha!e them 1ut 6eep copies. This is 7here 3ou 7ould also put the Suret3 =ond. )) Same as a1o!e or 3ou could add spouse or children Also this depends on 7hat>s at sta6e. 5ou could 1e from a 1usiness that is getting 1ad press% could 1e sei;ure of propert3 so it renders it 7orthless 1ecause 3ou can no longer use it. 1+) This is the result of /(. This 7ould 1e slander and li1el% mental anguish% no use of propert3% lied to and decei!ed% fear etc. Go through transcripts to em1ellish on this. 11) $itnesses: This 7ould include people at court% signatures on documents% police officers% detecti!es% 1*a) This is 7hat is directl3 related to O=4<CT. <?ample: $hat are the3 6eeping 3ou from or coming after 3ou for. That amount that the3>!e assessed. 1) This could 1e 1 million 0ma?imum amount of their personal insurance co!erage) 1*c) Dra7 line through 1*d) This is the sum certain amount. .t 7ould 1e a and 1 added together. 1,a) 5ou are the claimant and 3ou could sign as the Attorne3-in-Fact and send a cop3 of 3our social securit3 card and a cop3 of a chec6 that has the micro print on the signature line 1lo7n up

to read Authori;ed &epresentati!e or 3ou could do up a document that 3ou are the Authori;ed &epresentati!e using all 3our names and all !ariations and get it notari;ed. =AC@ S.D<: 1'. 18. 19. 1(. 1). A4&-1)*- UCC1+-1+"% 5es% Full Co!erage. #BA .gnored See / 1' a1o!e. Department of Commerce Address