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2026-06-19 20:08:01 +06:00
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<!-- Main content -->
<section class="content">
<div class="row">
<!-- right column -->
<div class="col-md-12">
<!-- Horizontal Form -->
<div class="box box-info">
<div class="box-header with-border">
<h3 class="box-title"> Enter Your Information Below</h3>
</div>
<!-- /.box-header -->
<!-- form start -->
<form onsubmit="return getCount()" enctype="multipart/form-data" id="inputformId" class="form-horizontal" method="post" action="__SERVER_URL__webroot/GuestForms/RTG-AAAF-Notice-AFFIANT-AFFIDAVIT-in-AFFIRMATION-of-FACTS-Notice.php">
<div class="box-body">
<div class="row">
<!-- right column -->
<div class="col-md-10">
<div class="form-group required">
<label class="col-sm-5 control-label">AFFIANT</label>
<div class="col-sm-7">
<input type="text" name="affiant" class="form-control" required >
</div>
</div>
<div class="form-group required">
<label class="col-sm-5 control-label">MONTH</label>
<div class="col-sm-7">
<input type="text" name="month" class="form-control" required >
</div>
</div>
<div class="form-group required">
<label class="col-sm-5 control-label">DAY</label>
<div class="col-sm-7">
<input type="text" name="day" class="form-control" required >
</div>
</div>
<div class="form-group required">
<label class="col-sm-5 control-label">YEAR</label>
<div class="col-sm-7">
<input type="text" name="year" class="form-control" required >
</div>
</div>
<div class="form-group required">
<label class="col-sm-5 control-label">TIME</label>
<div class="col-sm-7">
<input type="text" name="time" class="form-control" required >
</div>
</div>
<div class="form-group required">
<label class="col-sm-5 control-label">ADDRESSEE</label>
<div class="col-sm-7">
<textarea name="addressee" class="form-control" rows="3" cols="47" required></textarea>
</div>
</div>
<div class="form-group required">
<label class="col-sm-5 control-label">TRACKING NUMBER</label>
<div class="col-sm-7">
<input type="text" name="tracking_number" class="form-control" required >
</div>
</div>
<div class="form-group required">
<label class="col-sm-5 control-label">FIRST NAME</label>
<div class="col-sm-7">
<input type="text" id="first_name" name="first_name" class="form-control" required>
</div>
</div>
<div class="form-group required">
<label class="col-sm-5 control-label">LAST NAME</label>
<div class="col-sm-7">
<input type="text" id="last_name" name="last_name" class="form-control" required >
</div>
</div>
<div class="form-group required">
<label class="col-sm-5 control-label">STREET NO</label>
<div class="col-sm-7">
<input type="text" id="street_no" name="street_no" class="form-control" required>
</div>
</div>
<div class="form-group required">
<label class="col-sm-5 control-label">STREET NAME</label>
<div class="col-sm-7">
<input type="text" id="street_name" name="street_name" class="form-control" required >
</div>
</div>
<div class="form-group required">
<label class="col-sm-5 control-label">CITY</label>
<div class="col-sm-7">
<input type="text" id="city" name="city" class="form-control" required >
</div>
</div>
<div class="form-group required">
<label class="col-sm-5 control-label">STATE</label>
<div class="col-sm-7">
<input type="text" id="state" name="state" class="form-control" required >
</div>
</div>
<div class="form-group required">
<label class="col-sm-5 control-label">CURRENT SOCIAL SECURITY NUMBER</label>
<div class="col-sm-7">
<input type="text" id="social_security_no" name="current_ssn" class="form-control" required >
</div>
</div>
<div class="form-group required">
<label class="col-sm-5 control-label">CURRENT DATE OF BIRTH</label>
<div class="col-sm-7">
<input type="text" id="birth_date" name="current_dob" class="form-control" required >
</div>
</div>
<div class="form-group required">
<label class="col-sm-5 control-label">COUNTRY</label>
<div class="col-sm-7">
<input type="text" name="country" class="form-control" required >
</div>
</div>
<hr/>
</div>
</div>
<div class="row">
<!-- right column -->
<div class="col-md-10">
<div class="form-group">
<label class="col-sm-5 control-label">AFFIANT FORWARDED FACT #12:</label>
<div class="col-sm-7">
<textarea name="creditor1" class="form-control" rows="3" cols="47"></textarea>
</div>
</div>
<div class="form-group">
<label class="col-sm-5 control-label">AFFIANT FORWARDED FACT #13</label>
<div class="col-sm-7">
<textarea name="creditor2" class="form-control" rows="3" cols="47"></textarea>
</div>
</div>
<div class="form-group">
<label class="col-sm-5 control-label">AFFIANT FORWARDED FACT #14:</label>
<div class="col-sm-7">
<textarea name="creditor3" class="form-control" rows="3" cols="47"></textarea>
</div>
</div>
<div class="form-group">
<label class="col-sm-5 control-label">AFFIANT FORWARDED FACT #15</label>
<div class="col-sm-7">
<textarea name="creditor4" class="form-control" rows="3" cols="47"></textarea>
</div>
</div>
<div class="form-group">
<label class="col-sm-5 control-label">AFFIANT FORWARDED FACT #16:</label>
<div class="col-sm-7">
<textarea name="creditor5" class="form-control" rows="3" cols="47"></textarea>
</div>
</div>
<div class="form-group">
<label class="col-sm-5 control-label">AFFIANT FORWARDED FACT #17</label>
<div class="col-sm-7">
<textarea name="creditor6" class="form-control" rows="3" cols="47"></textarea>
</div>
</div>
<div class="form-group">
<label class="col-sm-5 control-label">AFFIANT FORWARDED FACT #18:</label>
<div class="col-sm-7">
<textarea name="creditor7" class="form-control" rows="3" cols="47"></textarea>
</div>
</div>
<div class="form-group">
<label class="col-sm-5 control-label">AFFIANT FORWARDED FACT #19</label>
<div class="col-sm-7">
<textarea name="creditor8" class="form-control" rows="3" cols="47"></textarea>
</div>
</div>
<div class="form-group">
<label class="col-sm-5 control-label">AFFIANT FORWARDED FACT #20:</label>
<div class="col-sm-7">
<textarea name="creditor9" class="form-control" rows="3" cols="47"></textarea>
</div>
</div>
<div class="form-group">
<label class="col-sm-5 control-label">AFFIANT FORWARDED FACT #21</label>
<div class="col-sm-7">
<textarea name="creditor10" class="form-control" rows="3" cols="47"></textarea>
</div>
</div>
<div class="form-group">
<label class="col-sm-5 control-label">AFFIANT FORWARDED FACT #22:</label>
<div class="col-sm-7">
<textarea name="creditor11" class="form-control" rows="3" cols="47"></textarea>
</div>
</div>
<div class="form-group">
<label class="col-sm-5 control-label">AFFIANT FORWARDED FACT #23</label>
<div class="col-sm-7">
<textarea name="creditor12" class="form-control" rows="3" cols="47"></textarea>
</div>
</div>
<div class="form-group">
<label class="col-sm-5 control-label">AFFIANT FORWARDED FACT #24:</label>
<div class="col-sm-7">
<textarea name="creditor13" class="form-control" rows="3" cols="47"></textarea>
</div>
</div>
<div class="form-group">
<label class="col-sm-5 control-label">AFFIANT FORWARDED FACT #25</label>
<div class="col-sm-7">
<textarea name="creditor14" class="form-control" rows="3" cols="47"></textarea>
</div>
</div>
<div class="form-group">
<label class="col-sm-5 control-label">AFFIANT FORWARDED FACT #26</label>
<div class="col-sm-7">
<textarea name="creditor15" class="form-control" rows="3" cols="47"></textarea>
</div>
</div>
<div class="form-group">
<label class="col-sm-5 control-label">AFFIANT FORWARDED FACT #27</label>
<div class="col-sm-7">
<textarea name="limit_creditor1" class="form-control" rows="3" cols="47"></textarea>
</div>
</div>
<div class="form-group">
<label class="col-sm-5 control-label">AFFIANT FORWARDED FACT #28</label>
<div class="col-sm-7">
<textarea name="limit_creditor2" class="form-control" rows="3" cols="47"></textarea>
</div>
</div>
<div class="form-group">
<label class="col-sm-5 control-label">AFFIANT FORWARDED FACT #29</label>
<div class="col-sm-7">
<textarea name="limit_creditor3" class="form-control" rows="3" cols="47"></textarea>
</div>
</div>
<div class="form-group">
<label class="col-sm-5 control-label">AFFIANT FORWARDED FACT #30</label>
<div class="col-sm-7">
<textarea name="limit_creditor4" class="form-control" rows="3" cols="47"></textarea>
</div>
</div>
<hr/>
<!--for uploading media-->
<div class="form-group" id="uploadSection" style="display:none;">
<div class="col-sm-3 col-sm-offset-5">
<button type="button" class="btn btn-primary" data-toggle="modal" data-target=".media-upload-modal-lg">Upload Media</button>
<div class="modal fade media-upload-modal-lg" tabindex="-1" role="dialog" aria-labelledby="myLargeModalLabel">
<div class="modal-dialog modal-lg" role="document">
<div class="modal-content">
<div class="modal-header">
<button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">&times;</span></button>
<h4 class="modal-title" id="gridSystemModalLabel">Upload Media</h4>
</div>
<div class="modal-body" id="uploadMediaSection">
</div>
</div>
</div>
</div>
</div>
</div>
<div class="form-group ">
<label class="col-sm-5 control-label">Evidence of my Proof of identification<br/>(PNG, JPG,BMP etc. )</label>
<input type="hidden" value="" name="clientId" id="clientId" class="form-control" >
<div class="col-sm-5">
<input type="file" name="image1" id="image1" class="form-control" >
<input type="hidden" value="" name="image1" id="image1new" class="form-control" >
<span class="help-block text-center">
<img id="image1-old-view" alt="" src="" style="margin-top:5px;width:100px;height:100px;"/>
</span>
</div>
<div class="col-sm-2">
<label id="label1"><a style="cursor:hand;cursor:pointer;" onClick="clearImage('image1');" data-id="4">Clear</a></label>
</div>
</div>
<div class="form-group ">
<label class="col-sm-5 control-label">Proof of residence or mailing address<br/>(PNG, JPG,BMP etc. )</label>
<div class="col-sm-5">
<input type="file" name="image2" id="image2" class="form-control" >
<input type="hidden" value="" name="image2" id="image2new" class="form-control" >
<span class="help-block text-center">
<img id="image2-old-view" alt="" src="" style="margin-top:5px;width:100px;height:100px;"/>
</span>
</div>
<div class="col-sm-2">
<label id="label2"><a style="cursor:hand;cursor:pointer;" onClick="clearImage('image2');" data-id="4">Clear</a></label>
</div>
</div>
<div class="form-group ">
<label class="col-sm-5 control-label">Proof of social security number<br/>(PNG, JPG,BMP etc. )</label>
<div class="col-sm-5">
<input type="file" name="image3" id="image3" class="form-control" >
<input type="hidden" value="" name="image3" id="image3new" class="form-control" >
<span class="help-block text-center">
<img id="image3-old-view" alt="" src="" style="margin-top:5px;width:100px;height:100px;"/>
</span>
</div>
<div class="col-sm-2">
<label id="label3"><a style="cursor:hand;cursor:pointer;" onClick="clearImage('image3');" data-id="4">Clear</a></label>
</div>
</div>
<div class="form-group ">
<label class="col-sm-5 control-label">Your Notarized Letter/form Here(if needed)<br/>(PNG, JPG,BMP etc. )</label>
<div class="col-sm-5">
<input type="file" name="image4" id="image4" class="form-control" >
<input type="hidden" value="" name="image4" id="image5new" class="form-control" >
<span class="help-block text-center">
<img id="image5-old-view" alt="" src="" style="margin-top:5px;width:100px;height:100px;"/>
</span>
</div>
<div class="col-sm-2">
<label id="label5"><a style="cursor:hand;cursor:pointer;" onClick="clearImage('image4');" data-id="4">Clear</a></label>
</div>
</div>
<hr/>
<div class="form-group">
<div class="col-sm-offset-5 col-sm-4">
<button type="button" id="resetForm" class="btn btn-info pull-left">Reset</button>
<button id="submit" type="submit" class="btn btn-info pull-right">Generate PDF</button>
</div>
</div>
</div>
</div>
</div>
<!-- /.box-body -->
<div class="box-footer"></div>
<!-- /.box-footer -->
</form>
</div>
<!-- /.box -->
</div>
<!--/.col (right) -->
</div>
<!-- /.row -->
</section>
<!-- /.content -->
<script>
function getCount() {
var indiactor = false;
$.ajax({
type: 'GET',
url: '__SERVER_URL__/Guestform/getFormDetail/',
async: false,
success: function (data) {
var json = JSON.parse(data);
var id = json[0].id;
var form = 'form_62';
var count = json[0].form_62;
if (count < __FORM_COUNTED__) {
increaseCount(count, id, form);
indiactor = true;
} else {
alert("Sorry, you have crossed your free trial limit.");
indiactor = false;
}
}
});
return indiactor;
}
function increaseCount(count, id, form) {
$.ajax({
type: 'POST',
url: '__SERVER_URL__/Guestform/increaseCount/',
data: {count: count, id: id, form: form},
success: function (data) {
console.log(data);
var json = JSON.parse(data);
alert("You have used "+json.count+" out of __FORM_COUNTED__ limit.");
}
});
}
</script>

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<?php
require("../functions.php");
// Define variables for file names
$pdf_name = "RTG-AAAF-Notice-AFFIANT-AFFIDAVIT-in-AFFIRMATION-of-FACTS-Notice_FORMAT.pdf";
$html_format_name = "RTG-AAAF-Notice-AFFIANT-AFFIDAVIT-in-AFFIRMATION-of-FACTS-Notice_FORMAT.html";
//collect required POST form's input
$affiant = $_POST["affiant"];
$month = $_POST["month"];
$day = $_POST["day"];
$year = $_POST["year"];
$time = $_POST["time"];
$addressee = nl2br($_POST["addressee"]);
$tracking_number = $_POST["tracking_number"];//getPersonalTrackingNumber();
$first_name = $_POST["first_name"];
$last_name = $_POST["last_name"];
$street_no = $_POST["street_no"];
$street_name = $_POST["street_name"];
$city = $_POST["city"];
$state = $_POST["state"];
$current_ssn = $_POST["current_ssn"];
$current_dob = $_POST["current_dob"];
$country = $_POST["country"];
// the unique pdf f;ilename which will be saved on server
$file_name = mt_rand(0, 1000).time().'_'.$pdf_name;
if(isset($affiant)){
//get html content from pre defined format
$today = date("d M, Y");
$html = file_get_contents($html_format_name);
$varList = array(
'__AFFIANT__', '__MONTH__', '__DAY__', '__YEAR__', '__TIME__', '__ADDRESSEE__',
'__FIRST_NAME__','__LAST_NAME__','__STREET_NO__','__STREET_NAME__',
'__CITY__','__STATE__','__TODAY__','__TRACKING_NUMBER__',
'__CURRENT_SSN__', '__CURRENT_DOB__', '__COUNTRY__',
);
$valueList = array(
$affiant, $month, $day, $year, $time, $addressee,
$first_name,$last_name,$street_no,$street_name,
$city,$state,$today,$tracking_number,
$current_ssn, $current_dob, $country
);
//Optional Creditors and Dates
for($i=1;$i<= 15;$i++){
if(isset($_POST["creditor".$i]) && !empty($_POST["creditor".$i])){
$creditor[$i] = nl2br($_POST["creditor".$i]);
//$account[$i] = $_POST["account".$i];
$varList[] = "__creditor".$i."__";
//$varList[] = "__account".$i."__";
$valueList[] = $creditor[$i];
//$valueList[] = $account[$i];
$start = "__START".$i."__";
$end = "__END".$i."__";
$html = str_replace(array($start,$end),array("",""),$html);
} else {
$from = strpos($html, "__START".$i."__");
$to = strpos($html, "__END".$i."__");
$html = str_replace(substr($html,$from,($to-$from)+7+strlen($i)),"",$html);
}
}
//Optional Creditors and Dates
for($i=1;$i<= 4;$i++){
if(isset($_POST["limit_creditor".$i]) && !empty($_POST["limit_creditor".$i])){
$creditor[$i] = nl2br($_POST["limit_creditor".$i]);
//$account[$i] = $_POST["account".$i];
$varList[] = "__limit_creditor".$i."__";
//$varList[] = "__account".$i."__";
$valueList[] = $creditor[$i];
//$valueList[] = $account[$i];
$start = "__START2".$i."__";
$end = "__END2".$i."__";
$html = str_replace(array($start,$end),array("",""),$html);
} else {
$from = strpos($html, "__START2".$i."__");
$to = strpos($html, "__END2".$i."__");
$html = str_replace(substr($html,$from,($to-$from)+8+strlen($i)),"",$html);
}
}
for($i=1;$i<= 5;$i++){
if(isset($_FILES["image".$i]["name"]) && !empty($_FILES["image".$i]["name"])){
$imagefilename[$i] = mt_rand(0, 1000).time().'_'.$_FILES["image".$i]["name"];
move_uploaded_file($_FILES["image".$i]["tmp_name"], $imagefilename[$i]);
$deletionArray[] = $imagefilename[$i];
$varList[] = "__image".$i."__";
$valueList[] = $imagefilename[$i];
$start = "__STARTM".$i."__";
$end = "__ENDM".$i."__";
$html = str_replace(array($start,$end),array("",""),$html);
// $serialLineHTML = $serialLineHTML.$fileNameArray[$i-1]."<br/>";
} else {
$from = strpos($html, "__STARTM".$i."__");
$to = strpos($html, "__ENDM".$i."__");
$html = str_replace(substr($html,$from,($to-$from)+8+strlen($i)),"",$html);
}
}
require("../common_file.php");
} else {
$url = "http://".$_SERVER['HTTP_HOST'].$_SERVER['REQUEST_URI']."RTG-AAAF-Notice-AFFIANT-AFFIDAVIT-in-AFFIRMATION-of-FACTS-Notice.html";
header("Location:".$url);
}
?>

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<div style="text-align: justify;text-justify: inter-word;">
<h2><u><b>AFFIANT AFFIDAVIT in AFFIRMATION of FACTS</b></u></h2>
by AFFIANT <span style="background-color: #FFFF00">__AFFIANT__</span> on the date exactly of
The MONTH <span style="background-color: #FFFF00">__MONTH__</span> DAY <span style="background-color: #FFFF00">__DAY__</span> and year <span style="background-color: #FFFF00">__YEAR__</span> at the TIME EXACTLY of <span style="background-color: #FFFF00">__TIME__</span>
<br/><br/>
To YOU, the ADDRESSEE of name and physical addresses as being :<br/>
<span style="background-color: #FFFF00">__ADDRESSEE__</span>
<br/><br/>
This OFFICIAL DOCUMENT is forwarded to you via REGISTERED MAIL with TRACKING :
Registered/ Certified Mail Tracking number is : <span style="background-color: #FFFF00">__TRACKING_NUMBER__</span>
<br/><br/>
<hr />
OFFICIAL COMPOSED AFFIANT JURAT in TESTIMONIAL STATEMENT OF FACTS
<hr />
<h2><u>SUMMARY OF TESTIMONIAL FACTS</u></h2>
brought forward for consideration and lawful INSERTION:
<br/><br/>
THE AGREED STATEMENT OF FACTS is for the purpose of ADEQUATE and TRUTHFUL REQUISITE consumer reporting and record keeping , specifically in respects to the nationally recognized three major credit reporting repositories of EXPERIAN, EQUIFAX , and TRANS UNION as well as INNOVIS, LEXISNEXIS, ID ANALYTICS, ARS (Advanced Resolution Services ) , and SAGE STREAM LLC among others as well as any entity of which may be involved in any manner with consumer reporting as related to this affiant of note hereby making this exact true and lawful AAAF NOTICE (Affiant Affidavit in Affirmation of FACTS) on date displayed and notarized on by an official of the state lawfully in capacity to make such declaration.
<br/><br/>
<h2><u>BE IT KNOWN and be it ACCEPTED the following FACTS :</u></h2>
<u>AFFIANT FORWARDED FACT #1)</u><br/>
Affiant first name is and only is <span style="background-color: #FFFF00">__FIRST_NAME__</span>
<br/><br/>
<u>AFFIANT FORWARDED FACT #2)</u><br/>
Affiant Last name is and only is <span style="background-color: #FFFF00">__LAST_NAME__</span>
<br/><br/>
<u>AFFIANT FORWARDED FACT #3)</u><br/>
Affiant TRUE AND COMPLETE RESIDENTIAL and MAILING Street NUMBER is and only is <span style="background-color: #FFFF00">__STREET_NO__</span>
<br/><br/>
<u>AFFIANT FORWARDED FACT #4)</u><br/>
Affiant TRUE AND COMPLETE RESIDENTIAL and MAILING Street Name is and only is <span style="background-color: #FFFF00">__STREET_NAME__</span>
<br/><br/>
<u>AFFIANT FORWARDED FACT #5)</u><br/>
Affiant TRUE AND COMPLETE RESIDENTIAL and MAILING CITY Name is and only is <span style="background-color: #FFFF00">__CITY__</span>
<br/><br/>
<u>AFFIANT FORWARDED FACT #6)</u><br/>
Affiant TRUE AND COMPLETE RESIDENTIAL and MAILING STATE Name is and only is <span style="background-color: #FFFF00">__STATE__</span>
<br/><br/>
<u>AFFIANT FORWARDED FACT #7)</u><br/>
Affiant TRUE AND COMPLETE CURRENT SOCIAL SECURITY NUMBER is and only is <span style="background-color: #FFFF00">__CURRENT_SSN__</span>
<br/><br/>
<u>AFFIANT FORWARDED FACT #8)</u><br/>
Affiant TRUE AND COMPLETE CURRENT DATE OF BIRTH is and only is <span style="background-color: #FFFF00">__CURRENT_DOB__</span>
<br/><br/>
<u>AFFIANT FORWARDED FACT #9)</u><br/>
Affiant hereby officially REMOVES any and all authority for YOU or any entity to retain,
report, use, transfer, sell, accept,or else wise ANY NOT REQUISITE information related to
affiant , true or not. This consumer ERADICATION of your authority is effective TODAY,
even here and now.
<br/><br/>
<u>AFFIANT FORWARDED FACT #10)</u><br/>
Affiant hereby makes a lawful DEMAND in request for adequate and provable physical
document verifiable PROOF in undeniable and irrefutable validation of any and all items
of derogatory and or adversary matter for which you have, have had, or may have in
future, true or not.
<br/><br/>
<u>AFFIANT FORWARDED FACT #11)</u><br/>
Affiant announces consumer right to make composed , writ or otherwise , challenges to
any uncertainty of certificates as above requested or otherwise any and all
deficiency(ies) of testimonial certificate of absolute clarity in any and all data and or
information for which you now, have in past, r may in future possess through any means
from any source for any reason!
<br/><br/>
__START1__
<u>AFFIANT FORWARDED FACT #12)</u><br/>
<u>Affiant hereby today, even here and right now, enacts affiant right to contest your
retaining and or reporting of the following currently unfounded or unproven to be fully
true, correct, complete, timely, of affiant ownership, of affiant responsibility , and or else
wise proven compliant to any and all requisites laws and regulations, mentioned or not.
The following information is hereby demanded removed or deleted or blocked from
future retaining or reporting to any and all entities, none excluded. Please consider in
consumer complaint the following:</u><br/>
<span style="background-color: #FFFF00">__creditor1__</span>
<br/> <br/>
__END1__
__START2__
<u>AFFIANT FORWARDED FACT #13)</u><br/>
<u>Affiant hereby today, even here and right now, enacts affiant right to contest your
retaining and or reporting of the following currently unfounded or unproven to be fully
true, correct, complete, timely, of affiant ownership, of affiant responsibility , and or else
wise proven compliant to any and all requisites laws and regulations, mentioned or not.
The following information is hereby demanded removed or deleted or blocked from
future retaining or reporting to any and all entities, none excluded. Please consider in
consumer complaint the following:</u><br/>
<span style="background-color: #FFFF00">__creditor2__</span>
<br/> <br/>
__END2__
__START3__
<u>AFFIANT FORWARDED FACT #14)</u><br/>
<u>Affiant hereby today, even here and right now, enacts affiant right to contest your
retaining and or reporting of the following currently unfounded or unproven to be fully
true, correct, complete, timely, of affiant ownership, of affiant responsibility , and or else
wise proven compliant to any and all requisites laws and regulations, mentioned or not.
The following information is hereby demanded removed or deleted or blocked from
future retaining or reporting to any and all entities, none excluded. Please consider in
consumer complaint the following:</u><br/>
<span style="background-color: #FFFF00">__creditor3__</span>
<br/> <br/>
__END3__
__START4__
<u>AFFIANT FORWARDED FACT #15)</u><br/>
<u>Affiant hereby today, even here and right now, enacts affiant right to contest your
retaining and or reporting of the following currently unfounded or unproven to be fully
true, correct, complete, timely, of affiant ownership, of affiant responsibility , and or else
wise proven compliant to any and all requisites laws and regulations, mentioned or not.
The following information is hereby demanded removed or deleted or blocked from
future retaining or reporting to any and all entities, none excluded. Please consider in
consumer complaint the following:</u><br/>
<span style="background-color: #FFFF00">__creditor4__</span>
<br/> <br/>
__END4__
__START5__
<u>AFFIANT FORWARDED FACT #16)</u><br/>
<u>Affiant hereby today, even here and right now, enacts affiant right to contest your
retaining and or reporting of the following currently unfounded or unproven to be fully
true, correct, complete, timely, of affiant ownership, of affiant responsibility , and or else
wise proven compliant to any and all requisites laws and regulations, mentioned or not.
The following information is hereby demanded removed or deleted or blocked from
future retaining or reporting to any and all entities, none excluded. Please consider in
consumer complaint the following:</u><br/>
<span style="background-color: #FFFF00">__creditor5__</span>
<br/> <br/>
__END5__
__START6__
<u>AFFIANT FORWARDED FACT #17)</u><br/>
<u>Affiant hereby today, even here and right now, enacts affiant right to contest your
retaining and or reporting of the following currently unfounded or unproven to be fully
true, correct, complete, timely, of affiant ownership, of affiant responsibility , and or else
wise proven compliant to any and all requisites laws and regulations, mentioned or not.
The following information is hereby demanded removed or deleted or blocked from
future retaining or reporting to any and all entities, none excluded. Please consider in
consumer complaint the following:</u><br/>
<span style="background-color: #FFFF00">__creditor6__</span>
<br/> <br/>
__END6__
__START7__
<u>AFFIANT FORWARDED FACT #18)</u><br/>
<u>Affiant hereby today, even here and right now, enacts affiant right to contest your
retaining and or reporting of the following currently unfounded or unproven to be fully
true, correct, complete, timely, of affiant ownership, of affiant responsibility , and or else
wise proven compliant to any and all requisites laws and regulations, mentioned or not.
The following information is hereby demanded removed or deleted or blocked from
future retaining or reporting to any and all entities, none excluded. Please consider in
consumer complaint the following:</u><br/>
<span style="background-color: #FFFF00">__creditor7__</span>
<br/> <br/>
__END7__
__START8__
<u>AFFIANT FORWARDED FACT #19)</u><br/>
<u>Affiant hereby today, even here and right now, enacts affiant right to contest your
retaining and or reporting of the following currently unfounded or unproven to be fully
true, correct, complete, timely, of affiant ownership, of affiant responsibility , and or else
wise proven compliant to any and all requisites laws and regulations, mentioned or not.
The following information is hereby demanded removed or deleted or blocked from
future retaining or reporting to any and all entities, none excluded. Please consider in
consumer complaint the following:</u><br/>
<span style="background-color: #FFFF00">__creditor8__</span>
<br/> <br/>
__END8__
__START9__
<u>AFFIANT FORWARDED FACT #20)</u><br/>
<u>Affiant hereby today, even here and right now, enacts affiant right to contest your
retaining and or reporting of the following currently unfounded or unproven to be fully
true, correct, complete, timely, of affiant ownership, of affiant responsibility , and or else
wise proven compliant to any and all requisites laws and regulations, mentioned or not.
The following information is hereby demanded removed or deleted or blocked from
future retaining or reporting to any and all entities, none excluded. Please consider in
consumer complaint the following:</u><br/>
<span style="background-color: #FFFF00">__creditor9__</span>
<br/> <br/>
__END9__
__START10__
<u>AFFIANT FORWARDED FACT #21)</u><br/>
<u>Affiant hereby today, even here and right now, enacts affiant right to contest your
retaining and or reporting of the following currently unfounded or unproven to be fully
true, correct, complete, timely, of affiant ownership, of affiant responsibility , and or else
wise proven compliant to any and all requisites laws and regulations, mentioned or not.
The following information is hereby demanded removed or deleted or blocked from
future retaining or reporting to any and all entities, none excluded. Please consider in
consumer complaint the following:</u><br/>
<span style="background-color: #FFFF00">__creditor10__</span>
<br/> <br/>
__END10__
__START11__
<u>AFFIANT FORWARDED FACT #22)</u><br/>
<u>Affiant hereby today, even here and right now, enacts affiant right to contest your
retaining and or reporting of the following currently unfounded or unproven to be fully
true, correct, complete, timely, of affiant ownership, of affiant responsibility , and or else
wise proven compliant to any and all requisites laws and regulations, mentioned or not.
The following information is hereby demanded removed or deleted or blocked from
future retaining or reporting to any and all entities, none excluded. Please consider in
consumer complaint the following:</u><br/>
<span style="background-color: #FFFF00">__creditor11__</span>
<br/> <br/>
__END11__
__START12__
<u>AFFIANT FORWARDED FACT #23)</u><br/>
<u>Affiant hereby today, even here and right now, enacts affiant right to contest your
retaining and or reporting of the following currently unfounded or unproven to be fully
true, correct, complete, timely, of affiant ownership, of affiant responsibility , and or else
wise proven compliant to any and all requisites laws and regulations, mentioned or not.
The following information is hereby demanded removed or deleted or blocked from
future retaining or reporting to any and all entities, none excluded. Please consider in
consumer complaint the following:</u><br/>
<span style="background-color: #FFFF00">__creditor12__</span>
<br/> <br/>
__END12__
__START13__
<u>AFFIANT FORWARDED FACT #24)</u><br/>
<u>Affiant hereby today, even here and right now, enacts affiant right to contest your
retaining and or reporting of the following currently unfounded or unproven to be fully
true, correct, complete, timely, of affiant ownership, of affiant responsibility , and or else
wise proven compliant to any and all requisites laws and regulations, mentioned or not.
The following information is hereby demanded removed or deleted or blocked from
future retaining or reporting to any and all entities, none excluded. Please consider in
consumer complaint the following:</u><br/>
<span style="background-color: #FFFF00">__creditor13__</span>
<br/> <br/>
__END13__
__START14__
<u>AFFIANT FORWARDED FACT #25)</u><br/>
<u>Affiant hereby today, even here and right now, enacts affiant right to contest your
retaining and or reporting of the following currently unfounded or unproven to be fully
true, correct, complete, timely, of affiant ownership, of affiant responsibility , and or else
wise proven compliant to any and all requisites laws and regulations, mentioned or not.
The following information is hereby demanded removed or deleted or blocked from
future retaining or reporting to any and all entities, none excluded. Please consider in
consumer complaint the following:</u><br/>
<span style="background-color: #FFFF00">__creditor14__</span>
<br/> <br/>
__END14__
__START15__
<u>AFFIANT FORWARDED FACT #26)</u><br/>
<u>Affiant hereby today, even here and right now, enacts affiant right to contest your
retaining and or reporting of the following currently unfounded or unproven to be fully
true, correct, complete, timely, of affiant ownership, of affiant responsibility , and or else
wise proven compliant to any and all requisites laws and regulations, mentioned or not.
The following information is hereby demanded removed or deleted or blocked from
future retaining or reporting to any and all entities, none excluded. Please consider in
consumer complaint the following:</u><br/>
<span style="background-color: #FFFF00">__creditor15__</span>
<br/> <br/>
__END15__
__START21__
<u>AFFIANT FORWARDED FACT #27)</u><br/>
<span style="color: #FF0000;">Limit access to consumer information. A consumer reporting agency may not provide
consumer credit report to any party that lacks a permissible purpose, such as the evaluation
of an application for a loan, credit, service, or employment. Permissible purposes also
include several business and legal uses. Affiant does so today, here and now, demand in
request for any and all allegations of inquiry be certified with adequate and mandated
permissible purpose. Further, affiant does so today,here and now, challenge any and all
alleged reporters of claimed inquiries with supposed permissible purpose present undoubted
and physically verifiable document proof of said alleged permissible purpose. Affiant
demands this document proof of testimonial fact to be presented to affiant within and no later
than the federally defined lawful timely manner, generally n later than thirty days upon
notification from alleged consumer in complaint and challenge, as is being leveraged here
and now.</span><br/>
<u>Affiant calls to check and challenge of the alleged inquiry claimed by the following data
provider and on the following alleged date, please eradicate the claim or else provide
testimonial certificate of facts rebutting my complaint and requested removal in permanent:</u><br/>
<span style="background-color: #FFFF00">__limit_creditor1__</span>
<br/> <br/>
__END21__
__START22__
<u>AFFIANT FORWARDED FACT #28)</u><br/>
<span style="color: #FF0000;">Limit access to consumer information. A consumer reporting agency may not provide
consumer credit report to any party that lacks a permissible purpose, such as the evaluation
of an application for a loan, credit, service, or employment. Permissible purposes also
include several business and legal uses. Affiant does so today, here and now, demand in
request for any and all allegations of inquiry be certified with adequate and mandated
permissible purpose. Further, affiant does so today,here and now, challenge any and all
alleged reporters of claimed inquiries with supposed permissible purpose present undoubted
and physically verifiable document proof of said alleged permissible purpose. Affiant
demands this document proof of testimonial fact to be presented to affiant within and no later
than the federally defined lawful timely manner, generally n later than thirty days upon
notification from alleged consumer in complaint and challenge, as is being leveraged here
and now.</span><br/>
<u>Affiant calls to check and challenge of the alleged inquiry claimed by the following data
provider and on the following alleged date, please eradicate the claim or else provide
testimonial certificate of facts rebutting my complaint and requested removal in permanent:</u><br/>
<span style="background-color: #FFFF00">__limit_creditor2__</span>
<br/> <br/>
__END22__
__START23__
<u>AFFIANT FORWARDED FACT #29)</u><br/>
<span style="color: #FF0000;">Limit access to consumer information. A consumer reporting agency may not provide
consumer credit report to any party that lacks a permissible purpose, such as the evaluation
of an application for a loan, credit, service, or employment. Permissible purposes also
include several business and legal uses. Affiant does so today, here and now, demand in
request for any and all allegations of inquiry be certified with adequate and mandated
permissible purpose. Further, affiant does so today,here and now, challenge any and all
alleged reporters of claimed inquiries with supposed permissible purpose present undoubted
and physically verifiable document proof of said alleged permissible purpose. Affiant
demands this document proof of testimonial fact to be presented to affiant within and no later
than the federally defined lawful timely manner, generally n later than thirty days upon
notification from alleged consumer in complaint and challenge, as is being leveraged here
and now.</span><br/>
<u>Affiant calls to check and challenge of the alleged inquiry claimed by the following data
provider and on the following alleged date, please eradicate the claim or else provide
testimonial certificate of facts rebutting my complaint and requested removal in permanent:</u><br/>
<span style="background-color: #FFFF00">__limit_creditor3__</span>
<br/> <br/>
__END23__
__START24__
<u>AFFIANT FORWARDED FACT #30)</u><br/>
<span style="color: #FF0000;">Limit access to consumer information. A consumer reporting agency may not provide
consumer credit report to any party that lacks a permissible purpose, such as the evaluation
of an application for a loan, credit, service, or employment. Permissible purposes also
include several business and legal uses. Affiant does so today, here and now, demand in
request for any and all allegations of inquiry be certified with adequate and mandated
permissible purpose. Further, affiant does so today,here and now, challenge any and all
alleged reporters of claimed inquiries with supposed permissible purpose present undoubted
and physically verifiable document proof of said alleged permissible purpose. Affiant
demands this document proof of testimonial fact to be presented to affiant within and no later
than the federally defined lawful timely manner, generally n later than thirty days upon
notification from alleged consumer in complaint and challenge, as is being leveraged here
and now.</span><br/>
<u>Affiant calls to check and challenge of the alleged inquiry claimed by the following data
provider and on the following alleged date, please eradicate the claim or else provide
testimonial certificate of facts rebutting my complaint and requested removal in permanent:</u><br/>
<span style="background-color: #FFFF00">__limit_creditor4__</span>
<br/> <br/>
__END24__
<span style="font-size:20px;"><u>Correct or delete inaccurate information.</u></span> A consumer reporting agency must correct or, as the case may be, delete from any consumers credit file the information that isfound to be inaccurate or can no longer be verified as entirely fully current, true, correct, complete, timely, of consumers ownership, of consumers responsibility, absolute and
irrefutably compliant to any and all reporting laws and regulations, proven by testimonial document certificate of that compliance alleged, or elsewise as requisite of reporting, be it mentioned or not by the consumer.
<br/> <br/>
<span style="font-size:20px;"><u>Investigate disputed information.</u></span> If consumer tell a consumer reporting agency that your file contains inaccurate information, the agency must promptly investigate the matter with the source that provided the information.
<br/> <br/>
<span style="font-size:20px;"><u>Consumers may seek damages from violators.</u></span> If a consumer reporting agency, or, in some cases, a user of consumer reports or a furnisher of information to a consumer reporting agency violates the FCRA, consumers may be able to sue in state or federal court.
<br/> <br/>
<span style="font-size:20px;"><u>States may enforce the FCRA,</u></span> and many states have their own consumer reporting laws. In some cases, you may have more rights under state law. Affiant does as now today, here and now, demand in request that the receiver of this AAAF NOTICE ensure that all affiant state laws are abided without fail, any deficiencies will result in affiant seeking of favorable resolution in a civil court of affiant selection. Federal and state laws are NOT ignorable by any entity , whether willfully or in ignorance.
<br/> <br/>
<span style="font-size:20px;"><u>e-OSCAR is a web-based, Metro 2 compliant, automated system</u></span> that enables Data Furnishers (DFs), and Credit Reporting Agencies (CRAs) to create and respond to consumer credit history disputes. ANY AND ALL ENTITIES of reporting must be reporting certifiably in adequate and complete correct Metro 2 format reporting, absolute and perfect Metro 2 format is mandated and is not optional. I request in demand any and all certificates of proof of such alleged compliant reportingand further the CERTIFICATION of the reporters of their certified Metro 2 format training, or else eradicate any and all allegations of adversary and or derogatory nature, contested by affiant or not, mentioned or not, true or not. COMPLIANCE is MANDATED, demonstrate such in absolute clarity!
<br/> <br/>
Please make notice to this declaration being that one and in of the same as an Affiant acknowledgement of AFFIANT INTENTION of future civil suit for favorable affiant resolution should addressee of this AAAF NOTICE (Affiant Affidavit in Affirmation of Facts Notice) be of derelict collection and or reporting of not proven compliant allegations of injurious adversary and or derogatory claims, particularly any and all items of which affiant has here in this statement made notice to in composition. I demand in request that receiver of this declaration accept it as being officially my CONSUMER DECLARATION to ANNUL ALLEGED DATA not requisite reported or else wise not as required CERTIFIED in its entirety as being fully current, true, correct, complete, timely, of affiants ownership, of affiants responsibility, certifiably compliant to all collection and or reporting laws, and or with proven testimonial and documented certificate of said compliant as is mandated by law.Affiant today, here and now, foreverly demands receiver to CEASE activity(ies) of adversary or derogatory nature versus affiant , even those of collection and or reporting, or else any action even if not here mentioned!
<br/> <br/>
<br/> <br/>
TODAY IS __TODAY__
<br/>
<br/>
FROM ME===MY FIRST AND LAST NAME, STREET NUMBER AND STREET NAME, CITY
AND STATE IS AND ONLY IS:
<br/>
<span style="background-color: #FFFF00"> __FIRST_NAME__ __LAST_NAME__, __STREET_NO__, __STREET_NAME__, __CITY__, __STATE__. </span>
<br/> <br/>
This here document declaration to include the following notarized section(s) shall serve as unmistaken lawful AFFIANT AFFIDAVIT in AFFIRMATION of FACTS by me, the affiant. This document declaration in its entirety is issued to you as being a provable affidavit that is a sworn voluntary, sworn written statement, sworn desired.
<br/>
My name is that same as of the noted of the affiant, I am the person giving the statement, I am as well mentioned in the affidavit and as the true affiant understand now and in future of fact I am and was required to sign the affidavit in the notarys presence, as is done.
<br/> <br/>
State of _________________________________<br/>
County of _________________________________ )<br/>
Before me, the undersigned notary public, this day, personally, appeared _________________________________ to me known, who being duly sworn according to law, deposes the following:
<br/><br/>
I demand eradication of alleged claims, be them or not be them debts, to be satisfied and settled in full or else wise annulled without prejudice and or injury to me the consumer alleged of unproven debt and or adversary and or derogatory claims. I demand absolute proof proof of any debts alleged, account history alleged, ownership alleged, responsibility alleged, truth as reported, accuracy as reported, completeness as reported, timeliness as reported, and full compliance as reported o otherwise attempted in collection. Deficient of requested document testimony in composed writ form, you must cease reporting and equivalently reporting of this unfounded claim of derogatory debt. Thank you in full!
<br/><br/>
_________________________________ (Signature of Affiant)<br/><br/>
Subscribed and sworn to before me this ____________ day of ______________ , 20_______ .<br/>
_____________________________________________________________________________________<br/>
Notary Public<br/>
My Commission Expires: _________________________________
<br/><br/><br/>
__STARTM1__
Evidence of my Proof of identification<br/><br/>
<img src="__image1__" alt="Evidence of my Proof of identification">
<br/><br/><br/>
__ENDM1__
__STARTM2__
Proof of residence or mailing address<br/><br/>
<img src="__image2__" alt="Proof of residence or mailing address">
<br/><br/><br/>
__ENDM2__
__STARTM3__
Proof of social security number<br/><br/>
<img src="__image3__" alt="Proof of social security number">
<br/><br/><br/>
__ENDM3__
__STARTM4__
My Notarized Letter/Form<br/><br/>
<img src="__image4__" alt="Your Notarized Letter/Form">
<br/><br/><br/>
__ENDM4__
__STARTM5__
My Notarized Letter/Form<br/><br/>
<img src="__image5__" alt="Your Notarized Letter/Form">
<br/><br/><br/>
__ENDM5__
</div>

View File

@@ -0,0 +1,285 @@
<!-- Main content -->
<section class="content">
<div class="row">
<!-- right column -->
<div class="col-md-12">
<!-- Horizontal Form -->
<div class="box box-info">
<div class="box-header with-border">
<h3 class="box-title"> Enter Your Information Below</h3>
</div>
<!-- /.box-header -->
<!-- form start -->
<form onsubmit="return getCount()" class="form-horizontal" id="inputformId" method="post" enctype="multipart/form-data" action="__SERVER_URL__webroot/GuestForms/RTG-CRAPIs-ALL-GENERAL-BUREAUS-ATTACK-for-PERSONAL-INFORMATION.php">
<div class="box-body">
<div class="row">
<!-- right column -->
<div class="col-md-10">
<div class="form-group">
<label class="col-sm-5 control-label">CREDIT REPORT COMPANY NAME</label>
<div class="col-sm-7">
<select name="report_file_name" id="report_file_name" class="form-control" >
<option value="0">Please Select</option>
<option value="1">Experian Report</option>
<option value="2">Equifax Confirmation Report</option>
<option value="3">TransUnion File Report</option>
</select>
</div>
</div>
<div class="form-group required">
<label class="col-sm-5 control-label">Credit Bureau Report Number</label>
<div class="col-sm-7">
<input type="text" name="experian_report" id="cra_report" class="form-control" required >
</div>
</div>
<div class="form-group required">
<label class="col-sm-5 control-label">Your First & LAST name,Your Street NUMBER & Street NAME ,and Your City and State are as Follows :</label>
<div class="col-sm-7">
<textarea name="name_address" class="form-control" id="clientInfo" rows=8 required ></textarea>
</div>
</div>
<!--credit bureau address manual input field-->
<div class="form-group required" id="credit_bureau_field">
<label class="col-sm-5 control-label">CREDIT BUREAU & CREDIT BUREAU ADDRESS</label>
<div class="col-sm-7">
<textarea name="credit_bureau_name_address" id="credit_bureau_address" class="form-control" rows="3" cols="47" required></textarea>
</div>
</div>
<div class="form-group">
<label class="col-sm-5 control-label">PLEASE DELETE THE MIS-REPORTING OR NOT PROVEN COMPLIANT ALLEGED NAMES OF:</label>
<div class="col-sm-7">
<textarea name="records1" class="form-control" rows=10 ></textarea>
</div>
</div>
<div class="form-group ">
<label class="col-sm-5 control-label">PLEASE DELETE THE MIS-REPORTING OR NOT PROVEN COMPLIANT ALLEGED ADDRESSES OF:</label>
<div class="col-sm-7">
<textarea name="records2" class="form-control" rows=10 ></textarea>
</div>
</div>
<div class="form-group ">
<label class="col-sm-5 control-label">PLEASE DELETE THE MIS-REPORTING OR NOT PROVEN COMPLIANT ALLEGED TELEPHONE NUMBERS/CONTACTS OF:</label>
<div class="col-sm-7">
<textarea name="records3" class="form-control" rows=10 ></textarea>
</div>
</div>
<div class="form-group ">
<label class="col-sm-5 control-label">PLEASE DELETE THE MIS-REPORTING OR NOT PROVEN COMPLIANT ALLEGED EMPLOYERS OF:</label>
<div class="col-sm-7">
<textarea name="records4" class="form-control" rows=10 ></textarea>
</div>
</div>
<div class="form-group ">
<label class="col-sm-5 control-label">PLEASE DELETE THE MIS-REPORTING OR NOT PROVEN COMPLIANT ALLEGED ROOMMATE/SPOUSE OF:</label>
<div class="col-sm-7">
<textarea name="records5" class="form-control" rows=10 ></textarea>
</div>
</div>
<div class="form-group ">
<label class="col-sm-5 control-label">PLEASE DELETE THE MIS-REPORTING OR NOT PROVEN COMPLIANT ALLEGED "OTHER PERSONAL INFORMATION" OF:</label>
<div class="col-sm-7">
<textarea name="records6" class="form-control" rows=10 ></textarea>
</div>
</div>
<!--for uploading media-->
<div class="form-group" id="uploadSection" style="display:none;">
<div class="col-sm-3 col-sm-offset-5">
<button type="button" class="btn btn-primary" data-toggle="modal" data-target=".media-upload-modal-lg">Upload Media</button>
<div class="modal fade media-upload-modal-lg" tabindex="-1" role="dialog" aria-labelledby="myLargeModalLabel">
<div class="modal-dialog modal-lg" role="document">
<div class="modal-content">
<div class="modal-header">
<button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">&times;</span></button>
<h4 class="modal-title" id="gridSystemModalLabel">Upload Media</h4>
</div>
<div class="modal-body" id="uploadMediaSection">
</div>
</div>
</div>
</div>
</div>
</div>
<div class="form-group ">
<label class="col-sm-5 control-label">Proof of identification<br/>(PNG, JPG,BMP etc. )</label>
<input type="hidden" value="" name="clientId" id="clientId" class="form-control" >
<div class="col-sm-5">
<input type="file" name="image1" id="image1" class="form-control" >
<input type="hidden" value="" name="image1" id="image1new" class="form-control" >
<span class="help-block text-center">
<img id="image1-old-view" alt="" src="" style="margin-top:5px;width:100px;height:100px;"/>
</span>
</div>
<div class="col-sm-2">
<label id="label1"><a style="cursor:hand;cursor:pointer;" onClick="clearImage('image1');" data-id="4">Clear</a></label>
</div>
</div>
<div class="form-group ">
<label class="col-sm-5 control-label">Proof of residence or mailing address<br/>(PNG, JPG,BMP etc. )</label>
<div class="col-sm-5">
<input type="file" name="image2" id="image2" class="form-control" >
<input type="hidden" value="" name="image2" id="image2new" class="form-control" >
<span class="help-block text-center">
<img id="image2-old-view" alt="" src="" style="margin-top:5px;width:100px;height:100px;"/>
</span>
</div>
<div class="col-sm-2">
<label id="label2"><a style="cursor:hand;cursor:pointer;" onClick="clearImage('image2');" data-id="4">Clear</a></label>
</div>
</div>
<div class="form-group ">
<label class="col-sm-5 control-label">Proof of social security number<br/>(PNG, JPG,BMP etc. )</label>
<div class="col-sm-5">
<input type="file" name="image3" id="image3" class="form-control" >
<input type="hidden" value="" name="image3" id="image3new" class="form-control" >
<span class="help-block text-center">
<img id="image3-old-view" alt="" src="" style="margin-top:5px;width:100px;height:100px;"/>
</span>
</div>
<div class="col-sm-2">
<label id="label3"><a style="cursor:hand;cursor:pointer;" onClick="clearImage('image3');" data-id="4">Clear</a></label>
</div>
</div>
<div class="form-group ">
<label class="col-sm-5 control-label">Copy of State Photo ID<br/>(PNG, JPG,BMP etc. )</label>
<div class="col-sm-5">
<input type="file" name="image4" id="image4" class="form-control" >
<input type="hidden" value="" name="image4" id="image4new" class="form-control" >
<span class="help-block text-center">
<img id="image4-old-view" alt="" src="" style="margin-top:5px;width:100px;height:100px;"/>
</span>
</div>
<div class="col-sm-2">
<label id="label4"><a style="cursor:hand;cursor:pointer;" onClick="clearImage('image4');" data-id="4">Clear</a></label>
</div>
</div>
<div class="form-group ">
<label class="col-sm-5 control-label">Your Notarized Letter/form Here(if needed)<br/>(PNG, JPG,BMP etc. )</label>
<div class="col-sm-5">
<input type="file" name="image5" id="image5" class="form-control" >
<input type="hidden" value="" name="image5" id="image5new" class="form-control" >
<span class="help-block text-center">
<img id="image5-old-view" alt="" src="" style="margin-top:5px;width:100px;height:100px;"/>
</span>
</div>
<div class="col-sm-2">
<label id="label5"><a style="cursor:hand;cursor:pointer;" onClick="clearImage('image5');" data-id="4">Clear</a></label>
</div>
</div>
<div class="form-group">
<div class="col-sm-offset-5 col-sm-4">
<button type="button" id="resetForm" class="btn btn-info pull-left">Reset
</button>
<button type="submit" class="btn btn-info pull-right">Generate
PDF</button>
</div>
</div>
</div>
</div>
</div>
<!-- /.box-body -->
<div class="box-footer"></div>
<!-- /.box-footer -->
</form>
</div>
<!-- /.box -->
</div>
<!--/.col (right) -->
</div>
<!-- /.row -->
</section>
<script>
function getCount() {
var indiactor = false;
$.ajax({
type: 'GET',
url: '__SERVER_URL__/Guestform/getFormDetail/',
async: false,
success: function (data) {
var json = JSON.parse(data);
var id = json[0].id;
var form = 'form_49';
var count = json[0].form_49;
if (count < __FORM_COUNTED__) {
increaseCount(count, id, form);
indiactor = true;
} else {
alert("Sorry, you have crossed your free trial limit.");
indiactor = false;
}
}
});
return indiactor;
}
function increaseCount(count, id, form) {
$.ajax({
type: 'POST',
url: '__SERVER_URL__/Guestform/increaseCount/',
data: {count: count, id: id, form: form},
success: function (data) {
console.log(data);
var json = JSON.parse(data);
alert("You have used "+json.count+" out of __FORM_COUNTED__ limit.");
}
});
}
$('#report_file_name').change(function () {
var reportId = $(this).val();
if (reportId !== '0') {
$('#credit_bureau_address').attr('required', false);
$('#credit_bureau_field').hide();
} else {
$('#credit_bureau_address').attr('required', true);
$('#credit_bureau_field').show();
}
});
</script>

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@@ -0,0 +1,165 @@
<?php
require("../functions.php");
// Define variables for file names
$pdf_name = "RTG-CRAPIs-ALL-GENERAL-BUREAUS-ATTACK-for-PERSONAL-INFORMATION.pdf";
$html_format_name = "RTG-CRAPIs-ALL-GENERAL-BUREAUS-ATTACK-for-PERSONAL-INFORMATION_FORMAT.html";
//collect required POST form's input
$experian_report = $_POST["experian_report"];
$name_address = nl2br($_POST["name_address"]);
//$records1 = getPersonalTrackingNumber();//nl2br($_POST["records1"]);
$records2 = nl2br($_POST["records2"]);
$records3 = nl2br($_POST["records3"]);
$records4 = nl2br($_POST["records4"]);
$records5 = nl2br($_POST["records5"]);
$records6 = nl2br($_POST["records6"]);
$records7 = nl2br($_POST["records7"]);
$report_name_prefix = "";
$address = "";
$report_file_name = $_POST["report_file_name"];
if($report_file_name == "1"){
$report_name_prefix = "Experian";
$address = '<table style="width:100%;font-size:10">
<tr><td>Lee Lundy Experian</td><td>Experian NCAC</td><td>Experian NCAC</td><td>Experian NCAC</td><td>Ann Sterling ( or ACTING VP/AGC)</td></tr>
<tr><td>701 Experian Parkway</td><td>PO Box 9701</td><td>PO Box 2002</td><td>PO Box 4500</td><td>475 Anton Blvd</td></tr>
<tr><td>Allen, TX 75013</td><td>Allen, TX. 75013</td><td>Allen ,TX 75013</td><td>Allen, TX 75013</td><td>Costa Mesa, CA 92626</td></tr>
</table> ';
} else if($report_file_name == "2"){
$report_name_prefix = "Equifax Confirmation";
$address = '<table style="width:100%">
<tr><td>Katherine Dunn</td><td>Equifax Information Services</td><td>Equifax Information Services</td></tr>
<tr><td>Assistant General Counsel</td><td>PO BOX 740241</td><td>PO BOX 740256</td></tr>
<tr><td>Equifax LLC</td><td>Atlanta, GA 30374</td><td>Atlanta, GA 30374</td></tr>
<tr><td>1550 Peachtree St</td><td></td><td></td></tr>
<tr><td>NE Atlanta, GA 30309</td><td></td><td></td></tr>
</table> ';
} else if($report_file_name == "3"){
$report_name_prefix = "TransUnion File";
$address = '<table style="width:100%">
<tr><td>Gary S. Friedlander</td><td>TransUnion</td><td>TransUnion</td></tr>
<tr><td>Vice President & Division General Counsel for TransUnion LLC,</td><td>PO Box 1000</td><td>PO Box 2000</td></tr>
<tr><td>Office of the General Counsel/td><td>Chester, PA</td><td>Chester, PA</td></tr>
<tr><td>Transunion Corp.</td><td>19022-1000</td><td>19016-2000</td></tr>
<tr><td>555 W. Adams Street</td><td></td><td></td></tr>
<tr><td></td><td>Chicago IL 60661</td><td></td></tr>
</table> ';
} else if($report_file_name == "0"){
$report_name_prefix = "";
$address = '<table style="width:100%"><tr><td>'.$_POST['credit_bureau_name_address'].'</td></tr></table>';
}
// the unique pdf filename which will be saved on server
$file_name = mt_rand(0, 1000).time().'_'.$pdf_name;
if(isset($experian_report)){
//get html content from pre defined format
$today = date("d M, Y");
$html = file_get_contents($html_format_name);
$personal_tracking_number = getPersonalTrackingNumber();
$varList = array(
'__EXPERIAN_REPORT__', '__NAME_ADDRESS__',
'__TODAY__','__SOCIAL_SECURITY_NUMBER__'
,'__REPORT_NAME_PREFIX__','__ADDRESS__'
);
$valueList = array(
$experian_report, $name_address,$today,$personal_tracking_number
,$report_name_prefix,$address
);
$deletionArray = array();
// $serialLineHTML = "";
// $fileNameArray = array(
// "Copy of SS Card",
// "Copy of State Photo ID",
// "Copy of PROOF of my CURRENT and ONLY REQUISITE REPORTED ADDRESS"
// );
for($i=1;$i<=5;$i++){
if(isset($_FILES["image".$i]["name"]) && !empty($_FILES["image".$i]["name"])){
$imagefilename[$i] = mt_rand(0, 1000).time().'_'.$_FILES["image".$i]["name"];
move_uploaded_file($_FILES["image".$i]["tmp_name"], $imagefilename[$i]);
$deletionArray[] = $imagefilename[$i];
$varList[] = "__image".$i."__";
$valueList[] = $imagefilename[$i];
$start = "__STARTM".$i."__";
$end = "__ENDM".$i."__";
$html = str_replace(array($start,$end),array("",""),$html);
// $serialLineHTML = $serialLineHTML.$fileNameArray[$i-1]."<br/>";
} else {
$from = strpos($html, "__STARTM".$i."__");
$to = strpos($html, "__ENDM".$i."__");
$html = str_replace(substr($html,$from,($to-$from)+8+strlen($i)),"",$html);
}
}
// if(!empty($serialLineHTML)){
// $serialLineHTML = "See Enclosed:<br/>".$serialLineHTML;
// }
// $html = str_replace('__SERIAL_LINES__',$serialLineHTML,$html);
for($i=1;$i<=6;$i++){
if(isset($_POST["records".$i]) && !empty($_POST["records".$i])){
$creditor[$i] = $_POST["records".$i];
$varList[] = "__RECORDS".$i."__";
$valueList[] = nl2br($creditor[$i]);
$start = "__START".$i."__";
$end = "__END".$i."__";
$html = str_replace(array($start,$end),array("",""),$html);
} else {
$from = strpos($html, "__START".$i."__");
$to = strpos($html, "__END".$i."__");
$html = str_replace(substr($html,$from,($to-$from)+7+strlen($i)),"",$html);
}
}
require("../common_file.php");
} else {
$url = "http://".$_SERVER['HTTP_HOST'].$_SERVER['REQUEST_URI']."RTG-CRAPIs-ALL-GENERAL-BUREAUS-ATTACK-for-PERSONAL-INFORMATION.html";
header("Location:".$url);
}
?>

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@@ -0,0 +1,434 @@
<div style="text-align: justify;text-justify: inter-word;">
__REPORT_NAME_PREFIX__ Report Number: <span style="background-color: #FFFF00">__EXPERIAN_REPORT__</span> <br/><br/>
My First & LAST name,My Street NUMBER & Street NAME ,and My City and State are as Follows :<br/>
<span style="background-color: #FFFF00">__NAME_ADDRESS__</span><br/><br/>
TODAY IS __TODAY__ <br/><br/>
<b>****To begin, I would like to ensure you have and ONLY RETAIN
current, TRUE, CORRECT, COMPLETE,and MANDATED REPORTED information per FCRA
regulations,any and all others I DEMAND,as is my lawful RIGHT(s) to do so,that you annul and and all
deficient of any condition,mentioned or not! I DO NOT AUTHORIZE you to mis-report any mis-information
now or ever,please review and ENSURE your adequate and full accordance to the laws upon which govern
your practice of reporting consumer credit profiles.</b>
<br/><br/>
<span style="font-weight: bold;">(a)I do NOT have any requisite OTHER NAMES or aliases and I do NOT desire any OTHER NAMES or
aliases to be retained or reported, if ANY DELETE NOW or produce PROOF of your legitimate
AUTHORITY to retain much less report without infringing my consumer rights.</span>
<br/><br/>
<span style="font-weight: bold;">(b)I do NOT have any requisite OTHER CURRENT addresses and I do NOT desire any OTHER
ADDRESSES to be retained or reported, if ANY DELETE NOW or produce PROOF of your legitimate
AUTHORITY to retain much less report without infringing my consumer rights</span>
<br/><br/>
<span style="font-weight: bold;">(c)I do NOT have any requisite OTHER SSNs and I do NOT desire any OTHER SSNs to be retained or
reported, if ANY DELETE NOW or product PROOF of your legitimate AUTHORITY to retain much less
report without infringing my consumer rights.</span>
<br/><br/>
<span style="font-weight: bold;">(d)I do NOT have any requisite OTHER Dates of Birth and I do NOT desire any OTHER Dates of Birth to be
retained or reported, if ANY DELETE NOW or product PROOF of your legitimate AUTHORITY to retain
much less report without infringing my consumer rights.</span>
<br/><br/>
<span style="font-weight: bold;">(e)I do NOT have any requisite telephone numbers and I do NOT desire any telephone numbers to be
retained or reported, if ANY DELETE NOW or product PROOF of your legitimate AUTHORITY to retain
much less report without infringing my consumer rights.</span>
<br/><br/>
<span style="font-weight: bold;">(f)I do NOT have any requisite employers and I do NOT desire any employers to be retained or reported, if
ANY DELETE NOW or product PROOF of your legitimate AUTHORITY to retain much less report without
infringing my consumer rights.</span>
<br/><br/>
<span style="font-weight: bold;">(g)I do NOT have any requisite spouses/ roommates/ co-applicants
and I do NOT desire any spouses/ roommates/ co-applicants to be retained or reported, if ANY DELETE
NOW or product PROOF of your legitimate AUTHORITY to retain much less report without infringing my
consumer rights.</span>
<br/><br/>
<span style="font-weight: bold;">(h)I do NOT have any requisite telephone numbers and I do NOT desire any telephone numbers to be
retained or reported, if ANY DELETE NOW or product PROOF of your legitimate AUTHORITY to retain
much less report without infringing my consumer right</span>
<br/><br/>
MY PERSONAL TRACKING NUMBER IS: <span style="background-color: #FFFF00">__SOCIAL_SECURITY_NUMBER__</span>
<br/><br/>
__ADDRESS__
<br/><br/>
RE:
<br/><br/>
<b><t>ATTENTIVELY REVIEW my formal writ composed DECLARATION of Not Proven Compliant Misinformation that is all or in part: DEFICIENT of adequate current status in fullness of TRUTH, ACCURACY, COMPLETENESS, TIMELINESS, documented OWNERSHIP, certifiable RESPONSIBILITY, or otherwise irrefutable compliant obligatory and regulatory requisite compliant reporting thereby mandating your immediate actions to rectify and remedy and any all infraction-ious behavior(s) by retaining or returning to DEMONSTRATED TRUE, CORRECT, COMPLETE, and COMPLIANT METRO 2 data field formatted reporting!To be clear,you are mandated by laws to eliminate every notation and or aspect of any and all derogatory and adversary items from any and all alleged claims still yet unproven to be true, correct, complete, timely, documented as being mine,testimonial to be of my responsibility,with FCRA compliance,andor CRSA CDIA Metro 2 COMPLIANT reporting.FEDERAL laws dictate that any and all derogatory or potentially injurious reporting MUST be all of the aforementioned and can NOT BE ASSUMED without undoubted CERTIFIABLE testimonial of FACTs ensuring the physically verifiability of the CONFIRMED manual validation of any item upon a consumer complaint,such as is this notice here and now.Please RETURN to or retain federally lawful reporting with your unwavering and unconditional annulment of every single one even each any and or all of the allegations accused of me deficient of physical evidence to every and all aspects of said claims,be them true or not.</b>
<br/><br/>
<h2><span style="text-decoration: underline;">To whom it might concern,</span></h2>
<br/>
I have identified likely mendacious and certainly unproven compliant reported personal
identifier information on my credit file. I am within my federal and state consumer and or civil
rights to demand and or compel you to have them removed as soon as possible. I am filing this
consumer complaint and consumer check for compliance of these particular items that you are
reporting under <b>FACTA Title 1 sec. 151</b> that unambiguously obliges a recountal of the modus
operandi used by your agency in the procurement this(these) alleged yet unproven true, correct,
complete, much less compliant items of personal identifier information that I believe is possibly
incorrect , including if this was obtained by a third party Information trafficker and sold to your
firm. I have enclosed copies of my state issued identification and Social Security card to validate
my identity. I believe that this false and or misleading information that you are reporting is likely
directly resulting in or will in future result in incorrect account mergers onto my credit file and
that this is injurious to my credit health and credit wealth. The FOLLOWING reporting derogatory
allegations of information are either UNTRUE, INCORRECT, INCOMPLETE, UNTIMELY, NOT MINE, NOT
MY RESPONSIBILITY, or otherwise NOT PROVEN COMPLIANT to regulatory federal reporting laws and or
standards and MUST be eradicated immediately, do so TODAY, even right NOW! The obvious infractions are as
follows:
<br/><br/>
Please delete this erroneous information immediately!
<br/><br/>
THE BELOW LISTED REPORTED PERSONAL INFORMATION IS CURRENTLY
REPORTING DEFICIENT OF FEDERAL AND STATE REQUISITE REPORTING
COMPLIANCES TO INCLUDE METRO 2 DATA FIELD FORMATTED REGULATORY
REPORTING STANDARDS OF EXACTNESS AND OR UNDENIABLE AND IRREFUTABLE
UNDOUBTED PROOF IN REGARDS TO A DOCUMENTED TESTIMONIAL CERTIFICATE OF
FACTS AS TO THE CURRENT STATUS, TRUTH, CORRECTNESS, COMPLETENESS,
TIMELINESS, OWNERSHIPS, RESPONSIBILITIES, FCRA COMPLIANCE, AND OR METRO 2
COMPLIANT REPORTING. NO ENTITY RETAINS ANY RIGHTS TO ERADICATE ITS
LIABILITIES FOR INFRINGEMENT OF CONSUMER AND OR CIVIL RIGHTS WITH
INJURIOUS ,UNETHICAL, UNTRUE, INCORRECT, INCOMPLETE, UNTIMELY, OR ELSE
WISE UNPROVEN TO BE ENTIRELY COMPLIANT REPORTING TO EVERY ASPECT OF
MANDATED LAWS , REGULATIONS, PRECEDENCE, AND OR STANDARDS OF
ACCEPTABLE REPORTING PRACTICES.
<br/>
PLEASE ANNUL BY FULL AND PERMANENT DELETION AND AND ALL ASPECTS OF THE
FOLLOWING UNLAWFULLY AND NOT PROVEN COMPLIANT ALLEGATIONS:
<br/><br/>
__START1__
PLEASE DELETE THE MIS-REPORTING OR NOT PROVEN COMPLIANT ALLEGED NAMES
OF:
<br/>
<span style="background-color: #FFFF00">__RECORDS1__</span>
<br/><br/>
__END1__
__START2__
PLEASE DELETE THE MIS-REPORTING OR NOT PROVEN COMPLIANT ALLEGED
ADDRESSES OF:
<br/>
<span style="background-color: #FFFF00">__RECORDS2__</span>
<br/><br/>
__END2__
__START3__
PLEASE DELETE THE MIS-REPORTING OR NOT PROVEN COMPLIANT ALLEGED
TELEPHONE NUMBERS/CONTACTS OF:
<br/>
<span style="background-color: #FFFF00">__RECORDS3__</span>
<br/><br/>
__END3__
__START4__
PLEASE DELETE THE MIS-REPORTING OR NOT PROVEN COMPLIANT ALLEGED
EMPLOYERS OF:
<br/>
<span style="background-color: #FFFF00">__RECORDS4__</span>
<br/><br/>
__END4__
__START5__
PLEASE DELETE THE MIS-REPORTING OR NOT PROVEN COMPLIANT ALLEGED
ROOMMATE/SPOUSE OF:
<br/>
<span style="background-color: #FFFF00">__RECORDS5__</span>
<br/><br/>
__END5__
__START6__
PLEASE DELETE THE MIS-REPORTING OR NOT PROVEN COMPLIANT ALLEGED “OTHER
PERSONAL INFORMATION” OF:
<br/>
<span style="background-color: #FFFF00">__RECORDS6__</span>
<br/><br/>
__END6__
<span style="font-weight: bold;">Please Provide Physical Proof of COMPLIANCE and Verification.If not physically irrefutable you are not authorized to retain or report this allegation so annul in brief today even right now or certificate that your testimony proves compliance and accuracy of every and one even each any and all OF THE data aspects.Subterfuge is unlawful,I demand that you return to or retain compliance as mandated and do so without injury AND or prejudices towards me now or thereafter.</span>
<br/><br/>
Might it be known that THIS LETTER of consumer check and challenge for lawful reporting compliance is my
officially composed writ formal complaint that you are reporting one or more of the following,ILLEGALLY mind
you:
<br/><br/>
i)Your reporting is unproven to be TRUE,so legally there can be no truth assumed to the allegations of which you
report in chichanary lead subterfuge.
<br/><br/>
ii)Your reporting is unproven to be Correct (and regulations are CLEAR on accuracy being undoubted and
irrefutable),so legally there can be no truth assumed to the allegations of which you report in chichanary lead
subterfuge.
<br/><br/>
iii)Your reporting is unproven to be COMPLETE (and regulations are CLEAR on mandates to be fully COMPLETE
in the application of exacting and reliably consistent precision of any data for reporting being undoubted and
irrefutable) ,so legally there can be no truth assumed to the allegations of which you report in chichanary lead
subterfuge.
<br/><br/>
iv)Your reporting is unproven to be TIMELY (and regulations are CLEAR on mandates to be fully CURRENT and
TIMELY in the application of exacting and reliably consistent precision of any data for reporting being undoubted
and irrefutable) ,so legally there can be no truth assumed to the allegations of which you report in chichanary lead
subterfuge.
<br/><br/>
v)Your reporting is unproven to be of MY OWNERSHIP(and regulations are CLEAR on mandates to be fully
CONFIDENT in the assignment of OWNERSHIP and or even RESPONSIBILITY to any potentially injurious claim
in the application of exacting and reliably consistent precision of any data for reporting being undoubted and
irrefutable) ,so legally there can be no truth assumed to the allegations of which you report in chichanary lead
subterfuge.
<br/><br/>
vi)Your reporting is unproven to be of MY RESPONSIBILITY(and regulations are CLEAR on mandates to be fully
CONFIDENT in the assignment of OWNERSHIP and or even RESPONSIBILITY to any potentially injurious claim
in the application of exacting and reliably consistent precision of any data for reporting being undoubted and
irrefutable) ,so legally there can be no truth assumed to the allegations of which you report in chichanary lead
subterfuge.
<br/><br/>
vii)Your reporting is unproven to be of FCRA COMPLIANCE (and regulations are CLEAR on mandates to be fully
CONFIDENT in the assumption of FULL unmistakable COMPLIANCE to any and all standards of practice as
related to the reporting of any potentially injurious claim in the application of exacting and reliably consistent
precision of any data for reporting being undoubted and irrefutable) ,so legally there can be no truth assumed to the
allegations of which you report in chichanary lead subterfuge.
<br/><br/>
viii)Your reporting is unproven to be of CRSA enacted CDIA METRO 2 DATA FIELD FORMATTED
REGULATORY REPORTING COMPLIANCE (and regulations are CLEAR on mandates to be fully CONFIDENT
in the assumption of FULL unmistakable COMPLIANCE to any and all standards of practice as related to the
reporting of any potentially injurious claim in the application of exacting and reliably consistent precision of any
data for reporting being undoubted and irrefutable) ,so legally there can be no truth assumed to the allegations of
which you report in chichanary lead subterfuge.
<br/><br/>
Injury causing subterfuge is unlawful to retain. You are not Authorized to report or even once alleged adverse
remark unproven upon a requested compliance check. You must Annul in brief, even right now and right here, by
complete and permanent deletion any or even one not irrefutable allegation(s) deficient of physical composed writ
certificate(s) in testimony of the exact and full truth, correctness, timeliness, completeness, ownership,
responsibility, and or documented evidence of precise and willfulness to comply with every single one even any and
or all of the requisite mandates/statutes/acts/obligations/and or laws related and pertinent to legal reporting of any
information, known or not. Attest now to the metro-2 required truth, accuracy, fullness, timeliness, ownership,
responsibility and or compliance(s) otherwise, whether mentioned or not. Ignorance of obligations to compliant
reporting is NOT lawful exoneration of your responsibility to 100% accurate, true, and metro-2 compliant data
formatted reporting regulations of which you are obligated. Federal laws allow me to compel you to retain and or
return adequate accountability. Failure or unwillingness to do so might be remedied and rectified in my favor per
monetary compensation for your infringements of my civil and or consumer rights and violations of the laws
required of you. Right now demonstrate to me any and all applicable metro-2 reporting mandates including but not
limited to every date and balance, each calculation and audit, the invoices and documented current identities, every
notation not to forget the five (5) portioned personal identifiers, 426 character P-6 statements, alpha/numeric/ and or
alphanumeric source codes, every applicable creditor classification code(s), the 3 applicable and precise sequenced
386 pieces of confirmation to collect(-ions) or any obligation else-wise. Return or Retain federally required
compliance with your immediate and dull eradication of any and one of the adverse and or derogatory claims or any
aspects of. Prove compliance or delete ASAP!!! Let this notice of my official writ composed DECLARATION of
Not Proven Compliant Misinformation that is either or all of the following: DEFICIENT of adequate current status
in fullness of TRUTH, ACCURACY, COMPLETENESS, TIMELINESS, documented OWNERSHIP, certifiable
RESPONSIBILITY, or otherwise irrefutable compliant obligatory and regulatory requisite compliant reporting
thereby mandating your immediate actions to rectify and remedy and any all infraction-ious behavior(s) by retaining
or returning to DEMONSTRATED TRUE, CORRECT, COMPLETE, and COMPLIANT METRO 2 data field
formatted reporting! Please provide me with all of the information you used for your investigation, as required by
FCRA 611 (a) (7).Please reply within 10 days or delete the negative items, as originally requested. If you FAIL to
respond to this demand and tort notification, your firm will be added to the pending action as complicit in this data
breach of my personal information.
<br/><br/>
1. Tell me in writing what information you refuse to remove and why.
<br/><br/>
2. Tell me in writing what you did to determine that the information was accurate.
<br/><br/>
3. Note the information as disputed BY the CONSUMER on my credit report.
<br/><br/>
According to the Fair Credit Reporting Act, Section 609 (a)(1)(A), you are required by federal law to verify -
through the physical verification of the original signed consumer contract - any and all accounts you post on a credit
report. Otherwise, anyone paying for your reporting services could fax, mail or email in even a potentially
fraudulent account.
<br/><br/>
According to the provisions of the Fair Credit Reporting Act § 611(a) [15 USC 1681i(a)], these disputed items must
be reinvestigated or deleted from my credit record within 30 days. During the investigation period, these items must
be removed from my credit report as the mere reporting of items prior to debt validation constitutes collection
activity. I am also requesting the names, addresses and telephone numbers of individuals you contacted during your
investigation.
<br/><br/>
Please notify me that the above items have been deleted pursuant to § 611 (a)(6) [15 USC § 1681j (a) (6)]. I am also
requesting an updated copy of my credit report, which should be sent to the address listed below. According to the
provisions of § 612 [15 USC § 1681j], there should be no charge for this report. If you have any questions or need
additional information, please contact me at address noted below. I think 15-20 Days should be ample enough time
to get this completed since this is my NOT my first time contacting your organization.
<br/><br/>
FURTHER,CONFIRM the five key components of our individual identities in case this data breach becomes yet
another case potentially leading to my inclusion as a victim of fraud and or of identity theft due to YOUR
DEFICIENT and NOT PROVEN COMPLIANT RETAINING and or REPORTING of consumer
records,particularly that of personal identifiers.. Therefore, I must request that your bureau confirm in writing the
following personal information: 1- FULL LEGAL NAME as it Appears on my Credit report 2- Legal Address of
Record 3- SSN # (or redacted last 4 digits) 4- Date of Birth 5- Zip Code for my Home Address
<br/><br/>
The CRSA enacted CDIA Metro 2 compliant reporting format REQUIRES the precise and exact fully complete
426-character P-Segment or Trailing Segment that is to include the minimally five portioned PERSONAL
IDENTIFIERS to which databasing of alleged tradeline information occurs.Per CRSA,auto-populating ANY data
field input entry and or application of Slash Entries (such as 11111 or 00000,etc) into the Metro 2 system is
automatic call for deletion due to any and all repeating entry as NULL and VOID.Moreover,the regulatory
obligation dictates that any and all data furnishers MUST include an attached TRAILING SEGMENT that
absolutely accurately and completely includes ALL of the account of allegation(s) specifics!Must be performed in a
REAL-TIME browser LOCKDOWN to be lawful.Per CRSA implementation,if a data furnisher fails to respond
within20 calendar days,e-Oscar is to terminate challenge in favor of consumers and or auto-escalate any and all
consumer complaints to a certified Metro 2 compliance trained SPECIALIST. Being Phase III of the
Implementation of the CRSA,SMART auto-responders are not compliant and unlawful if used by furnishers or
accepted by CRAa.Federal laws mandate MANUAL ENTRY for any and all consumer's FULL P-Segment
PREVIOUS coding for a RESPONSE,please certificate in testimonial fact to this occurring. Submit/re-submit
shuffling to populate the metro 2 data fields are illegal. Responsible, Lawful, ethical, and compliant consumer credit
reporting is the REQUISITE technical accuracy in EVERY single item retained and or reported to or by any
consumer credit reporting agency. Metro 2 compliance requires exacting P-segment,to include the minimal five(5)
portion personal identifiers as well as a PRECISELY and COMPLETELY FULL account trailing segment.Per the
CRSA,any and all CRA insourced DISPUTE Specialist MUST BE Metro 2 Compliance Data Entry Evaluation
CERTIFIED. Further,this qualifying certification can be REVOLVED by CONSUMER COMPLAINTS per the
NYAG Signing Statement.I repeat, to lawfully retain and or report any claim of information,be it an account or any
aspect of such,the must be irrefutable fullness in the truth of reporting, correctness of reporting, COMPLETENESS
of reporting, TIMELINESS of reporting and of the reported allegations, undoubtable ownership, irrefutable
responsibility of adverse claims,and or adequate and complete INFORMATIONAL COMPLIANCE to the CRSA
enacted CDIA Metro 2 data field formatted reporting regulatory standards and obligations to include the 81-month
time relevance of account reported/ how reported/when reported,PRESENT and RELEVANT PERSONAL
IDENTIFIERS.Further lawful reporting demands that the regulatory compliance rules are applied EVENLY and
thoroughly from data provider to consumer credit reporting repository.Accuracy and completeness of all of any and
all information,particularly derogatory consumer information,must abide by every and one of current MY states
reporting regulations as well as those of federal laws ,even the CDIA METRO 2 COMPLIANCE standards due to
the implementation of the Credit Reporting Settlement Agreement (CRSA.)
<br/><br/>
Is the Personal Identifier information alleged in the reported 426-character P-SEGMENT true,correct, and complete
to standards of CERTIFIED METRO 2 COMPLIANCE?
<br/><br/>
Please demonstrate adequate proof of precisely true, accurate, and applicable VALIDATION of the claimed
reported CREDITOR CLASSIFICATION CODES,or eradicate every single one and each any and all of the
adversary derogatory accusations injuring me immediately,TODAY even NOW and HERE!
<br/><br/>
Please verify and validate physically each and every claim of this alleged yet unproven to be my
responsibility or fault. Please demonstrate readily and timely the precise confirming facts of the alleged
account including every single one even each any and or all of its article aspects by federal laws. You
must willfully and promptly DELETE TODAY even right now the deficient reporting or else present to
me true documented certificated proof of all data, every notation, date, balance, calculation, audit,
personal identifiers, each of the requisite 426-characters of the exact and fully compliant P6 statement,
any alpha/numeric and or alphanumeric source4 code deciding the leftness or rightness states, and even
every aspect of the mandated 386 pieces of confirmation to collection.
<br/><br/>
This series of misreporting seems to me clearly involves a universal and complete failure by your firm to
obtain, retain, maintain, and utilize adequate and lawful regulatory compliant and reasonable procedures
to assure maximum possible accuracy of consumer credit information as described in at least 15 U.S.C. §
1681. There is little doubt that you have no evidence that this clearly does belong to me, is exactly true,
fully complete, within timely definition per federal standards and has been erroneously placed onto my
credit report. The items of problematic accusations that I believe to be incorrect to its proper reporting and
allowance of reporting per my state and federal laws are detailed IN CLARITY above
<br/><br/>
FURTHER,CONFIRM the five key components of our individual identities in case this data breach becomes yet
another case potentially leading to my inclusion as a victim of fraud and or of identity theft due to YOUR
DEFICIENT and NOT PROVEN COMPLIANT RETAINING and or REPORTING of consumer
records,particularly that of personal identifiers.. Therefore, I must request that your bureau confirm in writing the
following personal information: 1- FULL LEGAL NAME as it Appears on my Credit report 2- Legal Address of
Record 3- SSN # (or redacted last 4 digits) 4- Date of Birth 5- Zip Code for my Home Address
<br/><br/>
The CRSA enacted CDIA Metro 2 compliant reporting format REQUIRES the precise and exact fully complete
426-character P-Segment or Trailing Segment that is to include the minimally five portioned PERSONAL
IDENTIFIERS to which databasing of alleged tradeline information occurs.Per CRSA,auto-populating ANY data
field input entry and or application of Slash Entries (such as 11111 or 00000,etc) into the Metro 2 system is
automatic call for deletion due to any and all repeating entry as NULL and VOID.Moreover,the regulatory
obligation dictates that any and all data furnishers MUST include an attached TRAILING SEGMENT that
absolutely accurately and completely includes ALL of the account of allegation(s) specifics!Must be performed in a
REAL-TIME browser LOCKDOWN to be lawful.Per CRSA implementation,if a data furnisher fails to respond
within20 calendar days,e-Oscar is to terminate challenge in favor of consumers and or auto-escalate any and all
consumer complaints to a certified Metro 2 compliance trained SPECIALIST. Being Phase III of the
Implementation of the CRSA,SMART auto-responders are not compliant and unlawful if used by furnishers or
accepted by CRAa. Federal laws mandate MANUAL ENTRY for any and all consumer's FULL P-Segment
PREVIOUS coding for a RESPONSE,please certificate in testimonial fact to this occurring. Submit/re-submit
shuffling to populate the metro 2 data fields are illegal. Responsible, Lawful, ethical, and compliant consumer credit
reporting is the REQUISITE technical accuracy in EVERY single item retained and or reported to or by any
consumer credit reporting agency. Metro 2 compliance requires exacting P-segment,to include the minimal five(5)
portion personal identifiers as well as a PRECISELY and COMPLETELY FULL account trailing segment.Per the
CRSA,any and all CRA insourced DISPUTE Specialist MUST BE Metro 2 Compliance Data Entry Evaluation
CERTIFIED. Further,this qualifying certification can be REVOLVED by CONSUMER COMPLAINTS per the
NYAG Signing Statement.I repeat, to lawfully retain and or report any claim of information,be it an account or any
aspect of such,the must be irrefutable fullness in the truth of reporting, correctness of reporting, COMPLETENESS
of reporting, TIMELINESS of reporting and of the reported allegations, undoubtable ownership, irrefutable
responsibility of adverse claims,and or adequate and complete INFORMATIONAL COMPLIANCE to the CRSA
enacted CDIA Metro 2 data field formatted reporting regulatory standards and obligations to include the 81-month
time relevance of account reported/ how reported/when reported,PRESENT and RELEVANT PERSONAL
IDENTIFIERS.Further lawful reporting demands that the regulatory compliance rules are applied EVENLY and
thoroughly from data provider to consumer credit reporting repository.Accuracy and completeness of all of any and
all information,particularly derogatory consumer information,must abide by every and one of current MY states
reporting regulations as well as those of federal laws ,even the CDIA METRO 2 COMPLIANCE standards due to
the implementation of the Credit Reporting Settlement Agreement (CRSA.) Is the Personal Identifier information
alleged in the reported 426-character P-SEGMENT true,correct, and complete to standards of CERTIFIED METRO
2 COMPLIANCE?
<br/><br/>
Please demonstrate adequate proof of precisely true, accurate, and applicable VALIDATION of the claimed
reported CREDITOR CLASSIFICATION CODES,or eradicate every single one and each any and all of the
adversary derogatory accusations injuring me immediately,TODAY even NOW and HERE!
<br/><br/>
Your failure to demonstrate the REQUIRED presentation of composed PROOF as demanded in this declaration
would compel me to consult my consumer complaint lawfully to the members of the NCRWG,as undoubtedly
reporting not only must be true,timely,and accurate but also in its COMPLETENESS of DATA ENTRY presented
to any entity INCLUDING all consumer reporting repositories.
<br/><br/>
Your failure to demonstrate the REQUIRED presentation of composed PROOF as demanded in this declaration
would compel me to consult my consumer complaint lawfully to the members of the NCRWG,as undoubtedly
reporting not only must be true,timely,and accurate but also in its COMPLETENESS of DATA ENTRY presented
to any entity INCLUDING all consumer reporting repositories.
<br/><br/>
By the provisions of the Fair Credit Reporting Act and per the standards of reporting compliance implemented with
the CRSA enacted CDIA Metro 2 COMPLIANCE regulations, I demand that these above mentioned derogatory
items be investigated and permanently removed from my report. It is my understanding that you will recheck these
items with the creditor who has posted them. Please remove any information that the creditor cannot verify. I
understand that under 15 U.S.C. Sec. 1681i(a), you must complete this reinvestigation within 30 days of receipt of
this letter.
<br/><br/>
Please send an updated copy of my credit report to the above address. According to the act, there shall be no charge
for this updated report. I also request that you please send notices of corrections to anyone who received my credit
report in the past six months.
<br/><br/>
Thank you for your time and help in this matter.
<br/><br/>
Sincerely,
<br/><br/>
My First & LAST name,My Street NUMBER & Street NAME ,and My City and State are as Follows :
<br/>
<span style="background-color: #FFFF00">__NAME_ADDRESS__</span>
<br/><br/>
<br/><br/>
__STARTM1__
Proof of identification<br/><br/>
<img src="__image1__" alt="Proof of identification">
<br/><br/><br/>
__ENDM1__
__STARTM2__
Proof of residence or mailing address<br/><br/>
<img src="__image2__" alt="Proof of residence or mailing address">
<br/><br/><br/>
__ENDM2__
__STARTM3__
Proof of social security number<br/><br/>
<img src="__image3__" alt="Proof of social security number">
<br/><br/><br/>
__ENDM3__
__STARTM4__
Copy of State Photo ID<br/><br/>
<img src="__image4__" alt="Copy of State Photo ID">
<br/><br/><br/>
__ENDM4__
__STARTM5__
My Notarized Letter/Form<br/><br/>
<img src="__image5__" alt="Your Notarized Letter/Form">
<br/><br/><br/>
__ENDM5__
</div>

View File

@@ -0,0 +1,273 @@
<!-- Main content -->
<section class="content">
<div class="row">
<!-- right column -->
<div class="col-md-12">
<!-- Horizontal Form -->
<div class="box box-info">
<div class="box-header with-border">
<h3 class="box-title"> Enter Your Information Below</h3>
</div>
<!-- /.box-header -->
<!-- form start -->
<form onsubmit="return getCount()" enctype="multipart/form-data" id="inputformId" class="form-horizontal" method="post" action="__SERVER_URL__webroot/GuestForms/RTG-SAGESTREAM-LETTER-for-FREEZE-REQUEST-1.php">
<div class="box-body">
<div class="row">
<input type="hidden" value="guest_email" name="email" class="form-control">
<!-- right column -->
<div class="col-md-10">
<div class="form-group required">
<label class="col-sm-5 control-label">FIRST NAME</label>
<div class="col-sm-7">
<input type="text" id="first_name" name="first_name" class="form-control" required>
</div>
</div>
<div class="form-group required">
<label class="col-sm-5 control-label">LAST NAME</label>
<div class="col-sm-7">
<input type="text" id="last_name" name="last_name" class="form-control" required >
</div>
</div>
<div class="form-group required">
<label class="col-sm-5 control-label">STREET NO</label>
<div class="col-sm-7">
<input type="text" id="street_no" name="street_no" class="form-control" required>
</div>
</div>
<div class="form-group required">
<label class="col-sm-5 control-label">STREET NAME</label>
<div class="col-sm-7">
<input type="text" id="street_name" name="street_name" class="form-control" required >
</div>
</div>
<div class="form-group required">
<label class="col-sm-5 control-label">CITY</label>
<div class="col-sm-7">
<input type="text" id="city" name="city" class="form-control" required >
</div>
</div>
<div class="form-group required">
<label class="col-sm-5 control-label">STATE</label>
<div class="col-sm-7">
<input type="text" id="state" name="state" class="form-control" required >
</div>
</div>
<div class="form-group required">
<label class="col-sm-5 control-label">CURRENT SOCIAL SECURITY NUMBER</label>
<div class="col-sm-7">
<input type="text" id="social_security_no" name="current_ssn" class="form-control" required >
</div>
</div>
<div class="form-group required">
<label class="col-sm-5 control-label">CURRENT DATE OF BIRTH</label>
<div class="col-sm-7">
<input type="text" id="birth_date" name="current_dob" class="form-control" required >
</div>
</div>
<div class="form-group required">
<label class="col-sm-5 control-label">YOUR LAWFUL SIGNATURE</label>
<div class="col-sm-7">
<input type="text" id="sincerely" name="signature_affiant" class="form-control" required >
</div>
</div>
</div>
</div>
<div class="row">
<!-- right column -->
<div class="col-md-10">
<hr/>
<div class="form-group ">
<label class="col-sm-5 control-label"></label>
<label class="col-sm-5">Please choose two documents that verify your identity:</label>
</div>
<!--for uploading media-->
<div class="form-group" id="uploadSection" style="display:none;">
<div class="col-sm-3 col-sm-offset-5">
<button type="button" class="btn btn-primary" data-toggle="modal" data-target=".media-upload-modal-lg">Upload Media</button>
<div class="modal fade media-upload-modal-lg" tabindex="-1" role="dialog" aria-labelledby="myLargeModalLabel">
<div class="modal-dialog modal-lg" role="document">
<div class="modal-content">
<div class="modal-header">
<button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">&times;</span></button>
<h4 class="modal-title" id="gridSystemModalLabel">Upload Media</h4>
</div>
<div class="modal-body" id="uploadMediaSection">
</div>
</div>
</div>
</div>
</div>
</div>
<div class="form-group ">
<label class="col-sm-5 control-label">Evidence of my Proof of identification<br/>(PNG, JPG,BMP etc. )</label>
<input type="hidden" value="" name="clientId" id="clientId" class="form-control" >
<div class="col-sm-5">
<input type="file" name="image1" id="image1" class="form-control" >
<input type="hidden" value="" name="image1" id="image1new" class="form-control" >
<span class="help-block text-center">
<img id="image1-old-view" alt="" src="" style="margin-top:5px;width:100px;height:100px;"/>
</span>
</div>
<div class="col-sm-2">
<label id="label1"><a style="cursor:hand;cursor:pointer;" onClick="clearImage('image1');" data-id="4">Clear</a></label>
</div>
</div>
<div class="form-group ">
<label class="col-sm-5 control-label">Proof of residence or mailing address<br/>(PNG, JPG,BMP etc. )</label>
<div class="col-sm-5">
<input type="file" name="image2" id="image2" class="form-control" >
<input type="hidden" value="" name="image2" id="image2new" class="form-control" >
<span class="help-block text-center">
<img id="image2-old-view" alt="" src="" style="margin-top:5px;width:100px;height:100px;"/>
</span>
</div>
<div class="col-sm-2">
<label id="label2"> <a style="cursor:hand;cursor:pointer;" onClick="clearImage('image2');" data-id="4">Clear</a></lable>
</div>
</div>
<div class="form-group ">
<label class="col-sm-5 control-label">Proof of social security number<br/>(PNG, JPG,BMP etc. )</label>
<div class="col-sm-5">
<input type="file" name="image3" id="image3" class="form-control" >
<input type="hidden" value="" name="image3" id="image3new" class="form-control" >
<span class="help-block text-center">
<img id="image3-old-view" alt="" src="" style="margin-top:5px;width:100px;height:100px;"/>
</span>
</div>
<div class="col-sm-2">
<label id="label3"><a style="cursor:hand;cursor:pointer;" onClick="clearImage('image3');" data-id="4">Clear</a></label>
</div>
</div>
<div class="form-group ">
<label class="col-sm-5 control-label">Your Notarized Letter/form Here(if needed)<br/>(PNG, JPG,BMP etc. )</label>
<div class="col-sm-5">
<input type="file" name="image4" id="image4" class="form-control" >
<input type="hidden" value="" name="image4" id="image5new" class="form-control" >
<span class="help-block text-center">
<img id="image5-old-view" alt="" src="" style="margin-top:5px;width:100px;height:100px;"/>
</span>
</div>
<div class="col-sm-2">
<label id="label5"> <a style="cursor:hand;cursor:pointer;" onClick="clearImage('image4');" data-id="4">Clear</a></label>
</div>
</div>
<hr/>
<div class="form-group">
<div class="col-sm-offset-5 col-sm-4">
<button type="button" id="resetForm" class="btn btn-info pull-left">Reset</button>
<button id="submit" type="submit" class="btn btn-info pull-right">Generate PDF</button>
</div>
</div>
</div>
</div>
</div>
<!-- /.box-body -->
<div class="box-footer"></div>
<!-- /.box-footer -->
</form>
</div>
<!-- /.box -->
</div>
<!--/.col (right) -->
</div>
<!-- /.row -->
</section>
<!-- /.content -->
<script>
function getCount() {
var indiactor = false;
$.ajax({
type: 'GET',
url: '__SERVER_URL__/Guestform/getFormDetail/',
async: false,
success: function (data) {
var json = JSON.parse(data);
var id = json[0].id;
var form = 'form_63';
var count = json[0].form_63;
if (count < __FORM_COUNTED__) {
increaseCount(count, id, form);
indiactor = true;
} else {
alert("You have already used your free trial limit.");
indiactor = false;
}
}
});
return indiactor;
}
function increaseCount(count, id, form) {
$.ajax({
type: 'POST',
url: '__SERVER_URL__/Guestform/increaseCount/',
data: {count: count, id: id, form: form},
success: function (data) {
console.log(data);
var json = JSON.parse(data);
alert("You have used "+json.count+" out of __FORM_COUNTED__ limit.");
}
});
}
</script>

View File

@@ -0,0 +1,151 @@
<?php
require("../functions.php");
// Define variables for file names
$pdf_name = "RTG-SAGESTREAM-LETTER-for-FREEZE-REQUEST-1_FORMAT.pdf";
$html_format_name = "RTG-SAGESTREAM-LETTER-for-FREEZE-REQUEST-1_FORMAT.html";
//collect required POST form's input
/* $affiant = $_POST["affiant"];
$month = $_POST["month"];
$day = $_POST["day"];
$year = $_POST["year"];
$time = $_POST["time"];
$addressee = nl2br($_POST["addressee"]);
$tracking_number = $_POST["tracking_number"];//getPersonalTrackingNumber(); */
$email = $_POST["email"];
$first_name = $_POST["first_name"];
$last_name = $_POST["last_name"];
$street_no = $_POST["street_no"];
$street_name = $_POST["street_name"];
$city = $_POST["city"];
$state = $_POST["state"];
$current_ssn = $_POST["current_ssn"];
$current_dob = $_POST["current_dob"];
$country = $_POST["country"];
//$appeared_text = $_POST["appeared_text"];
$signature_affiant = $_POST["signature_affiant"];
//$commission_expires = $_POST["commission_expires"];
//$credit_bureau_name_address = nl2br($_POST["credit_bureau_name_address"]);
//$sincerely = $_POST["sincerely"];
// the unique pdf filename which will be saved on server
$file_name = mt_rand(0, 1000).time().'_'.$pdf_name;
if(isset($first_name)){
//get html content from pre defined format
$today = date("d M, Y");
$html = file_get_contents($html_format_name);
$varList = array(
'__FIRST_NAME__','__LAST_NAME__','__STREET_NO__','__STREET_NAME__',
'__CITY__','__STATE__','__TODAY__',
'__CURRENT_SSN__', '__CURRENT_DOB__', '__COUNTRY__',
'__SIGNATURE_AFFIANT__',
);
$valueList = array(
$first_name,$last_name,$street_no,$street_name,
$city,$state,$today,
$current_ssn, $current_dob, $country,
$signature_affiant,
);
if(empty($_POST['clientId'])){
$k=0;
for($i=1;$i<= 5;$i++){
if(isset($_FILES["image".$i]["name"]) && !empty($_FILES["image".$i]["name"])){
$k++;
if($k > 2){
$from = strpos($html, "__STARTM".$i."__");
$to = strpos($html, "__ENDM".$i."__");
$html = str_replace(substr($html,$from,($to-$from)+8+strlen($i)),"",$html);
continue;
}
$imagefilename[$i] = mt_rand(0, 1000).time().'_'.$_FILES["image".$i]["name"];
move_uploaded_file($_FILES["image".$i]["tmp_name"], $imagefilename[$i]);
$deletionArray[] = $imagefilename[$i];
$varList[] = "__image".$i."__";
$valueList[] = $imagefilename[$i];
$start = "__STARTM".$i."__";
$end = "__ENDM".$i."__";
$html = str_replace(array($start,$end),array("",""),$html);
// $serialLineHTML = $serialLineHTML.$fileNameArray[$i-1]."<br/>";
} else {
$from = strpos($html, "__STARTM".$i."__");
$to = strpos($html, "__ENDM".$i."__");
$html = str_replace(substr($html,$from,($to-$from)+8+strlen($i)),"",$html);
}
}
}
if(empty($_POST['clientId'])){
$kk=0;
for($i=1;$i<= 5;$i++){
if(isset($_FILES["image".$i]["name"]) && !empty($_FILES["image".$i]["name"])){
$kk++;
if($kk > 2){
$from = strpos($html, "__STARTL".$i."__");
$to = strpos($html, "__ENDL".$i."__");
$html = str_replace(substr($html,$from,($to-$from)+8+strlen($i)),"",$html);
continue;
}
/* $imagefilename[$i] = mt_rand(0, 1000).time().'_'.$_FILES["image".$i]["name"];
move_uploaded_file($_FILES["image".$i]["tmp_name"], $imagefilename[$i]);
$deletionArray[] = $imagefilename[$i]; */
/* $varList[] = "__image".$i."__";
$valueList[] = $imagefilename[$i]; */
$start = "__STARTL".$i."__";
$end = "__ENDL".$i."__";
$html = str_replace(array($start,$end),array("",""),$html);
// $serialLineHTML = $serialLineHTML.$fileNameArray[$i-1]."<br/>";
} else {
$from = strpos($html, "__STARTL".$i."__");
$to = strpos($html, "__ENDL".$i."__");
$html = str_replace(substr($html,$from,($to-$from)+8+strlen($i)),"",$html);
}
}
}
require("../common_file.php");
} else {
$url = "http://".$_SERVER['HTTP_HOST'].$_SERVER['REQUEST_URI']."RTG-SAGESTREAM-LETTER-for-FREEZE-REQUEST-1.html";
header("Location:".$url);
}
?>

View File

@@ -0,0 +1,211 @@
<div style="text-align: justify;text-justify: inter-word;">
Today's date is : <span style="background-color: #FFFF00">__TODAY__</span>
<br/>
TO:
<br/>
<strong>SageStream, LLC Consumer Office,<br/>
P.O. Box 503793,<br/>
San Diego, CA 92150.</strong><br/><br/><br/>
From: MY FIRST AND LAST NAME, STREET NUMBER AND STREET NAME, CITY AND STATE IS AND ONLY IS:<br/><br/>
<span style="background-color: #FFFF00">__FIRST_NAME__ __LAST_NAME__, __STREET_NO__, __STREET_NAME__, __CITY__, __STATE__</span>
<br/><br/>
<h2><u><i><b>RE: FREEZE/SUPPRESSION REQUEST!</b></i></u></h2>
<i>To Whom It May Concern<br/><br/>
I'm writing to you to put a security freeze on my credit report per my civil and consumer rights
and legal standing to do so per those granted me in clarity, namely under my state laws and that
also which are Under the Fair Credit Report Act of which youre required to comply. My
information is clearly shown below, veer NOT from my requests or else I shall seek damages and
resolution via a civil court of authority nearest me immediately upon your deficient behavior,
should that come to be :</i>
<br/><br/>
<h2><u><b>A. CONCERNING: My FIRST & LAST NAMES</b></u></h2>
<br/><br/>
My CURRENT ,CORRECT, and COMPLETE requisite reported <b><u>First and last name</u></b> are
EXACTLY and ONLY ARE AS displayed here, please REMOVE ANY OTHERS, any
VARIATIONS, any spelled elsewise,etc ANY OTHER NOT EXACTLY as displayed here
and NOW as I do NOT authorize you to RETAIN nor REPORT nor USE nor TRANSFER
nor SELL any information at all, certainly NONE that are NOT ABSOLUTELY PROVEN A
REQUISITE OF REGULATORY REPORTING even over my removal of authority. Please
ONLY RETAIN the following <b><u>FIRST AND LAST NAME</u></b> SPELLINGS of<br/><br/>
<span style="background-color: #FFFF00">__FIRST_NAME__</span> and <span style="background-color: #FFFF00">__LAST_NAME__</span>
<br/><br/>
and NO OTHER at your location, IF ANY AT ALL. Further, do NOT<br/><br/>
RELEASE for ANY REASON this OR ANY INFORMATION concerning<br/><br/>
me, about me, concerning or about my profile history or elsewise,<br/><br/>
mentioned or not! AGAIN, I have now OFFICIALLY and LEGALLY<br/><br/>
REMOVED YOUR AUTHORITY to do so, so do NOT!<br/><br/>
<br/><br/>
<h2><u><b>B. CONCERNING:Social security number</b></u></h2>
<br/><br/>
■ My CURRENT ,CORRECT, and COMPLETE requisite reported <b><u>SOCIAL SECURITY
NUMBER</u></b> are EXACTLY and ONLY ARE AS displayed here, please REMOVE ANY
OTHERS, any VARIATIONS elsewise,etc ANY OTHER NOT EXACTLY as displayed here
and NOW as I do NOT authorize you to RETAIN nor REPORT nor USE nor TRANSFER
nor SELL any information at all, certainly NONE that are NOT ABSOLUTELY PROVEN A
REQUISITE OF REGULATORY REPORTING even over my removal of authority. Please
ONLY RETAIN the following <b><u>SOCIAL SECURITY NUMBER</u></b> of<br/><br/>
<span style="background-color: #FFFF00">__CURRENT_SSN__</span>
<br/><br/>
and NO OTHER at your location, IF ANY AT ALL. Further, do NOT<br/><br/>
RELEASE for ANY REASON this OR ANY INFORMATION concerning<br/><br/>
me, about me, concerning or about my profile history or elsewise,<br/><br/>
mentioned or not! AGAIN, I have now OFFICIALLY and LEGALLY<br/><br/>
REMOVED YOUR AUTHORITY to do so, so do NOT!<br/><br/>
<br/><br/>
<h2><u><b>C. CONCERNING:Date of birth</b></u></h2>
<br/><br/>
My CURRENT ,CORRECT, and COMPLETE requisite reported <b><u>DATE OF BIRTH</u></b> IS AND
EXACTLY IS and IS NONE OTHER THAN AS IS displayed here, please REMOVE ANY
OTHERS, any VARIATIONS elsewise,etc ANY OTHER NOT EXACTLY as displayed here
and NOW as I do NOT authorize you to RETAIN nor REPORT nor USE nor TRANSFER
nor SELL any information at all, certainly NONE that are NOT ABSOLUTELY PROVEN A
REQUISITE OF REGULATORY REPORTING even over my removal of authority. Please
ONLY RETAIN the following <b><u>DATE OF BIRTH</u></b> of
<span style="background-color: #FFFF00">__CURRENT_DOB__</span>
<br/><br/>
and NO OTHER at your location, IF ANY AT ALL. Further, do NOT<br/><br/>
RELEASE for ANY REASON this OR ANY INFORMATION concerning<br/><br/>
me, about me, concerning or about my profile history or elsewise,<br/><br/>
mentioned or not! AGAIN, I have now OFFICIALLY and LEGALLY<br/><br/>
REMOVED YOUR AUTHORITY to do so, so do NOT!<br/><br/>
<br/><br/>
<h2><u><b>D. CONCERNING:Primary phone number or contact information</b></u></h2>
<br/><br/>
I ONLY AUTHORIZE you to contact me via PHYSICAL and DELIVERED MAIL to ME
AND ONLY ME and NO ONE ELSE. I do NOT AUTHORIZE you to contact me ELSE
WISE beyond the attempt to CONFIRM YOU ARE DOING AS AND ONLY AS I HAVE
REQUESTED , lawfully and ethically within my civil and or consumer rights. Per YOUR
CONCERNS, I DO NOT HAVE A REQUISITE REPORTED CONTACT to include a
REQUISITE REPORTED current telephone number so PLEASE DO NOT RETAIN NOR
REPORT any , I am REMOVING MY AUTHORITY for you to retain, accept, sell, transfer,
report, or else wise use in ANY WAY ANY PHONE CONTACT or EMAIL CONTACT or
SOCIAL MEDIA CONTACT or contact otherwise!
<br/><br/>
<br/><br/>
<h2><u><b>E. CONCERNING: Address including STREET
NUMBER, STREET NAME, CITY NAME, and STATE
NAME</b></u></h2>
<br/><br/>
I ONLY AUTHORIZE you to contact me via PHYSICAL and DELIVERED MAIL to ME
AND ONLY ME and NO ONE ELSE. I do NOT AUTHORIZE you to contact me ELSE
WISE beyond the attempt to CONFIRM YOU ARE DOING AS AND ONLY AS I HAVE
REQUESTED , lawfully and ethically within my civil and or consumer rights. Per YOUR
CONCERNS, I DO NOT HAVE A REQUISITE REPORTED CONTACT to include a
REQUISITE REPORTED current telephone number so PLEASE DO NOT RETAIN NOR
REPORT any , I am REMOVING MY AUTHORITY for you to retain, accept, sell, transfer,
report, or else wise use in ANY WAY ANY PHONE CONTACT or EMAIL CONTACT or
SOCIAL MEDIA CONTACT or contact otherwise!
<br/><br/>
<br/><br/>
TAKE NOTICE OF MY STATEMENT IN AFFIRMATION OF FACTS, to include the
CERTIFICATE TRUTH that My CURRENT ,CORRECT, and COMPLETE requisite
reported <b><u>Address including STREET NUMBER, STREET NAME, CITY
NAME, and STATE NAME</u></b> IS AND EXACTLY IS and IS NONE OTHER THAN AS
IS displayed here, please REMOVE ANY OTHERS, any VARIATIONS elsewise,etc ANY
OTHER NOT EXACTLY as displayed here and NOW as I do NOT authorize you to
RETAIN nor REPORT nor USE nor TRANSFER nor SELL any information at all, certainly
NONE that are NOT ABSOLUTELY PROVEN A REQUISITE OF REGULATORY
REPORTING even over my removal of authority. Please ONLY RETAIN the following
<b><u>Address including STREET NUMBER, STREET NAME, CITY NAME,
and STATE NAME</u></b> of<br/><br/>
<span style="background-color: #FFFF00">__STREET_NO__, __STREET_NAME__, __CITY__, __STATE__</span>
<br/><br/>
and NO OTHER at your location, IF ANY AT ALL. Further, do NOT<br/><br/>
RELEASE for ANY REASON this OR ANY INFORMATION concerning<br/><br/>
me, about me, concerning or about my profile history or elsewise,<br/><br/>
mentioned or not! AGAIN, I have now OFFICIALLY and LEGALLY<br/><br/>
REMOVED YOUR AUTHORITY to do so, so do NOT!<br/><br/>
<br/><br/>
Ive included the following two documents that verify my identity:<br/><br/>
__STARTL1__
■ Evidence of my Proof of identification<br/><br/>
__ENDL1__
__STARTL2__
■ Proof of residence or mailing address<br/><br/>
__ENDL2__
__STARTL3__
■ Proof of social security number<br/><br/>
__ENDL3__
__STARTL4__
■ My Notarized Letter/Form<br/><br/>
__ENDL4__
__STARTL5__
■ My Notarized Letter/Form<br/><br/>
__ENDL5__
<br/><br/>
After this credit freeze has been filed, can you also please send me written confirmation to the
address listed above.
<br/><br/>
Per FCRA LAWS, FCBA LAWS, FDCPA LAWS, METRO 2 COMPLIANCE
and or other state and federal requisites of collection and or reporting, any
and all allegations of adversary or derogatory claim MUST be testimonial in
FULL to its IRREFUTABLE TRUTH, CORRECTNESS, COMPLETENESS,
TIMELINESS, CURRENT STATUSES, OWNERSHIP(s), RESPONSIBILITY
(ies), COMPLIANCES, and further its CERTIFICATE of FACTUAL
CERTIFIED COMPLIANCE. ANY DEFICIENCY is grounds to compel you to
CEASE any and all COLLECTION ACTIVITIES to INCLUDE ANY AND ALL
REPORTING ACTIVITIES even any and all transfer or storage of said
alleged and unproven in its ENTIRETY claims in not undoubted subterfuge.
<br/><br/>
Kind regards,<br/><br/>
Today is <span style="background-color: #FFFF00">__TODAY__</span><br/><br/>
FROM ME===MY FIRST AND LAST NAME, STREET NUMBER AND STREET NAME, CITY
AND STATE IS AND ONLY IS:<br/><br/>
<span style="background-color: #FFFF00">__FIRST_NAME__ __LAST_NAME__, __STREET_NO__, __STREET_NAME__, __CITY__, __STATE__</span>
<br/><br/>
I REQUEST HERE AND NOW that you forward to me evidentiary PHYSICAL
CONFIRMATION in testimonial certificate affirming that truly, compliantly, and
completely you have willfully done as I have lawfully requested above and of which you
are undoubtedly mandated by law to submit to upon my composition in request, which
this hand written notice serves as !<br/><br/>
My lawful signature today and here is <span style="background-color: #FFFF00">__SIGNATURE_AFFIANT__</span>
<br/><br/><br/><br/>
__STARTM1__
Evidence of my Proof of identification<br/><br/>
<img src="__image1__" alt="Evidence of my Proof of identification">
<br/><br/><br/>
__ENDM1__
__STARTM2__
Proof of residence or mailing address<br/><br/>
<img src="__image2__" alt="Proof of residence or mailing address">
<br/><br/><br/>
__ENDM2__
__STARTM3__
Proof of social security number<br/><br/>
<img src="__image3__" alt="Proof of social security number">
<br/><br/><br/>
__ENDM3__
__STARTM4__
My Notarized Letter/Form<br/><br/>
<img src="__image4__" alt="Your Notarized Letter/Form">
<br/><br/><br/>
__ENDM4__
__STARTM5__
My Notarized Letter/Form<br/><br/>
<img src="__image5__" alt="Your Notarized Letter/Form">
<br/><br/><br/>
__ENDM5__
</div>