UNITED STATES DISTRICT COURT
FOR THE NORTHERN DISTRICT OF TEXAS
DALLAS DIVISION
THE FEDERAL TRADE COMMISSION,
Plaintiff,
v.
JOHN MANCINI, an individual, doing business as CREDIT SERVICES,
Defendant.
CIVIL ACTION NO. 3-98CV0553-X
STIPULATED FINAL JUDGMENT AND ORDER OF PERMANENT INJUNCTION
Plaintiff, the Federal Trade Commission ("FTC or Commission"),
commenced this action by filing a Complaint pursuant to Sections 13(b) and 19 of the
Federal Trade Commission Act ("FTC Act"), 15 U.S.C. §§ 53(b) and 57b; and
Section 410(b) of the Credit Repair Organizations Act, 15 U.S.C. §§ 1679h(b), charging
the Defendant in this action with violations of Section 5 of the FTC Act, 15 U.S.C. §
45(a) and the Credit Repair Organizations Act, 15 U.S.C. § 1679 et seq.
The Commission and Defendant John Mancini, doing business as Credit Services, have
agreed to the entry of this Stipulated Final Judgment and Order for Permanent Injunction
("Order") by this Court in order to resolve all matters of dispute between them
in this action. The Commission and Defendant have consented to entry of this Final Order
without trial or adjudication of any issue of law or fact herein.
Upon the consent of the parties hereto, IT IS HEREBY ORDERED, ADJUDGED, AND DECREED
as follows:
FINDINGS
1. This Court has jurisdiction of the subject matter of this case and of the parties
consenting hereto. Venue in this District is proper.
2. On March 2, 1998, the Commission filed its complaint for a permanent injunction and
other equitable relief in this matter, and moved for an ex parte Temporary Restraining
Order (TRO) pursuant to Rule 65 of the Federal Rules of Civil Procedure, Fed.
R. Civ. P. 65. An ex parte Temporary Restraining Order was entered on March 2, 1998, and a
Stipulated Preliminary Injunction was entered on March 9, 1998.
3. The Complaint states a claim upon which relief may be granted against Defendant
under Sections 5, 13(b) and 19 of the FTC Act, 15 U.S.C. §§ 45, 53(b) and 57b, and the
Credit Repair Organizations Act, 15 U.S.C. § 1679 et seq.
4. Entry of this Order is in the public interest.
5. Defendant has waived all rights to seek appellate review of, or otherwise challenge
or contest the validity of this Final Order or the temporary or preliminary orders entered
in this proceeding.
7. This Final Order does not constitute, and shall not be interpreted to constitute,
either an admission by Defendant or a finding by the Court that Defendant has engaged in
violations of the FTC Act or the Credit Repair Organizations Act.
8. The Defendant enters into this Order freely and without coercion. The Defendant
further acknowledges that he has read the provisions of this Order and is prepared to
abide by them.
9. Defendant has waived all claims under the Equal Access to Justice Act, 28 U.S.C. §
2412, amended by Pub. L. 104-121, 110 Stat. 847, 863-64 (1996).
DEFINITIONS
- A. Credit repair organization (A) means any person who uses any
instrumentality of interstate commerce or the mails to sell, provide, or perform (or
represent that such person can or will sell, provide, or perform) any service, in return
for the payment of money or other valuable consideration, for the express or implied
purpose of -- (i) improving any consumers credit record, credit history, or credit
rating; or (ii) providing advice or assistance to any consumer with regard to any activity
or service described in clause (i); and (B) does not include -- (i) any nonprofit
organization which is exempt from taxation under section 501(c)(3) of Title 26; (ii) any
creditor (as defined in section 1602 of this title), with respect to any consumer, to the
extent the creditor is assisting the consumer to restructure any debt owed by the consumer
to the creditor; or (iii) any depository institution (as that term is defined in section
1813 of Title 12) or any Federal or State credit union (as those terms are defined in
section 1752 of Title 12), or any affiliate or subsidiary of such a depository institution
or credit union.
-
- B. Credit repair service means any service, in return for the payment of
money or other valuable consideration, for the express or implied, purpose of (a)
improving any consumers credit record, credit history, or credit rating; or (b)
providing advice or assistance to any consumer with regard to any activity or service the
purpose of which is to improve any consumers credit record, credit history, or
credit rating;
-
- C. Material means likely to affect a persons choice of, or conduct
regarding, goods or services;
-
- D. Plaintiff means the Federal Trade Commission;
-
- E. Assets means any legal or equitable interest in, right to, or claim to,
any real and personal property, including but not limited to chattels, goods, instruments,
equipment, fixtures, general intangibles, effects, shares of stock, contracts, leaseholds,
mail or other deliveries, inventory, checks, notes, accounts, credits, receivables, and
all cash, wherever located; and
-
- F. "Document" is synonymous in meaning and equal in scope to the usage of the
term in Federal Rule of Civil Procedure 34(a), and includes writings, drawings, graphs,
charts, photographs, audio and video recordings, computer records, and other data
compilations from which information can be obtained and translated, if necessary, through
detection devices into reasonably usable form. A draft or non-identical copy is a separate
document within the meaning of the term.
-
- G. Assists others engaged in credit repair means knowingly provides any of
the following goods or services to any person or entity engaged in credit repair: (1)
performs customer service functions for an entity engaged in credit repair, including, but
not limited to, receiving or responding to consumer complaints; (2) formulates or
provides, or arranges for the formulation or provision of, any telephone sales script or
any other marketing material for an entity engaged in credit repair; (3) provides names
of, or assists in the generation of, potential customers or an entity engaged in credit
repair; or (4) performs marketing services of any kind for an entity engaged in credit
repair.
I. PROHIBITED MISREPRESENTATIONS
IT IS THEREFORE ORDERED, ADJUDGED AND DECREED that Defendant, his successors,
assigns, officers, agents, servants, employees, attorneys, and all persons or entities
directly or indirectly under their control or under common control with them, and all
other persons or entities in active concert or participation with them who receive actual
notice of this Order by personal service or otherwise, whether acting directly or through
any business entity, corporation, subsidiary, division or other device, are hereby
permanently restrained and enjoined from:
- A. Misrepresenting, expressly or by implication, that anyone can improve substantially
an appreciable number of consumers credit reports or profiles by permanently
removing bankruptcies, liens, judgments, charge-offs, late payments, foreclosures,
repossessions, and other negative information from consumers' credit reports, even where
such information is accurate and not obsolete;
-
- B. Misrepresenting, expressly or by implication, that any consumers credit reports
or profiles can be substantially improved by permanently removing bankruptcies, liens,
judgments, charge-offs, late payments, foreclosures, repossessions, and other negative
information from the consumer's credit reports;
-
- C. Misrepresenting, expressly or by implication, or failing to disclose any fact
material to a consumers decision to purchase credit repair services from Defendant;
-
- D. Misrepresenting, expressly or by implication, or failing to disclose any fact
material to a consumers decision to pay money to obtain or arrange a loan or
extension of credit or to consolidate a debt; and
-
- E. Misrepresenting, expressly or by implication, or failing to disclose any fact
material to a consumers decision to purchase Defendants services or products.
II. PROHIBITED PAYMENTS
IT IS FURTHER ORDERED that Defendant, his successors, assigns, officers, agents,
servants, employees, attorneys, and all persons or entities directly or indirectly under
their control or under common control with them, and all other persons or entities in
active concert or participation with them who receive actual notice of this Order by
personal service or otherwise, whether acting directly or through any business entity,
corporation, subsidiary, division or other device, are hereby permanently restrained and
enjoined from charging or receiving any money or other valuable consideration for services
which Defendant has agreed to perform for the purpose of improving any consumers
credit record, credit history, or credit report before all such services have been fully
performed.
III. CREDIT REPAIR ORGANIZATIONS ACT
IT IS FURTHER ORDERED that Defendant, his successors, assigns, officers, agents,
servants, employees, attorneys, and all persons or entities directly or indirectly under
their control or under common control with them, and all other persons or entities in
active concert or participation with them who receive actual notice of this Order by
personal service or otherwise, whether acting directly or through any business entity,
corporation, subsidiary, division or other device, are hereby permanently restrained and
enjoined from violating any provision of the Credit Repair Organizations Act,
("CROA"), 15 U.S.C. § 1679 et seq., as presently enacted or as it may
hereinafter be amended, including, but not limited to:
- A. Violating 15 U.S.C. § 1679c(a) by failing to provide consumers with a written
statement of consumer credit file rights under state and federal law at the time and in
the manner prescribed therein;
-
- B. Violating 15 U.S.C. § 1679b(a)(1) by making any untrue or misleading statement, or
counseling or advising any consumer to make any untrue or misleading statement, with
respect to any consumers credit worthiness, credit standing, or credit capacity to
any consumer reporting agency as defined in 15 U.S.C. § 1681(f) or to any person who has
extended credit to the consumer or to whom the consumer has applied or is applying for an
extension of credit;
-
- C. Violating 15 U.S.C. § 1679b(a)(2) by making any statement, or counseling or advising
any consumer to make any statement, the intended effect of which is to alter the
consumers identification to prevent the display of the consumers credit
record, history, or rating for the purpose of concealing adverse information that is
accurate and non-obsolete from any consumer reporting agency as defined in 15 U.S.C. §
1681(f) or from any person who has extended credit to the consumer or to whom the consumer
has applied or is applying for an extension of credit;
-
- D. Violating 15 U.S.C. § 1679b(a)(3) by making or using any untrue or misleading
representation of the services of a credit repair organization; or
-
- E. Violating 15 U.S.C. §§ 1679d(a), 1679d(b)(4), or 1679e(b), by providing services to
consumers without first having the consumers sign written contracts that:
(1) include a prescribed statement of the consumers right to cancel the
transaction within three business days; and
(2) are accompanied by a notice of cancellation in the form and manner prescribed.
IV. CLIENT LISTS
IT IS FURTHER ORDERED that Defendant, and his officers, agents, servants,
employees, attorneys, and all persons or entities directly or indirectly under their
control or under common control with them, and all other persons or entities in active
concert or participation with them, are hereby permanently restrained and enjoined from
selling, renting, leasing, transferring, or otherwise disclosing the name, address,
telephone number, social security number, or other identifying information of any person
who paid any money to Defendant, at any time prior to the date this Order is entered, in
connection with the provision of credit repair services. Provided, however, that Defendant
may disclose such identifying information to a law enforcement agency or as required by
any law, regulation, or court order.
V. CONSUMER REDRESS AND DAMAGES
IT IS FURTHER ORDERED that Defendant shall pay to the Commission the sum of
$18,000 no later than (10) ten business days after entry of this Order.
In the event of any default on any obligation to make payment under this Part,
interest, computed pursuant to 28 U.S.C. § 1961(a), shall accrue from the date of default
to the date of payment.
The funds paid by Defendant pursuant to this Order shall be deposited into a redress
fund, administered by the Commission, to be used for equitable relief including but not
limited to consumer redress and any attendant expenses for the administration of any
redress fund. If the Commission determines, in its sole discretion, that redress to
purchasers is wholly or partially impracticable, any funds not so used shall be paid to
the United States Treasury as an equitable disgorgement remedy. Defendant shall be
notified as to how the funds are disbursed but shall have no right to contest the manner
of distribution chosen by the Commission. The Commission in its sole discretion may use a
designated agent to administer consumer redress.
IT IS FURTHER ORDERED that, in accordance with 31 U.S.C. § 7701, Defendant
shall furnish to the Federal Trade Commission his respective taxpayer identifying numbers
(social security number or employer identification number), which shall be used for
purposes of collecting and reporting on any delinquent amount arising out of such
persons relationship with the government.
VI. RIGHT TO REOPEN
IT IS FURTHER ORDERED that the Commissions agreement to this Order is
expressly premised upon the financial condition of Defendant as represented in the
"Financial Statement of Individual Defendant" provided by Defendant to the
Commission on April 8, 1998, which contained material information upon which the
Commission relied in negotiating and agreeing upon this Order. If, upon motion by the
Commission, this court finds that Defendant filed a financial statement that failed to
disclose any material asset, or materially misrepresented the value of any asset, or made
any other material misrepresentation in or omission from the financial statement, the
Commission may request that the judgment herein be reopened for the purpose of requiring
monetary redress or obtaining other equitable relief; provided, however, that in all other
respects this judgment shall remain in full force and effect, unless otherwise ordered by
this Court.
VII. CEASE COLLECTIONS, NOTICES TO CONSUMERS
IT IS FURTHER ORDERED that Defendant his officers, agents, servants, employees,
attorneys, and all persons or entities directly or indirectly under his control or under
common control with them, and all other persons or entities in active concert or
participation with them, shall:
- A. Cease all collection efforts on accounts arising from contracts signed between
Defendant and his credit repair clients prior to the date the Temporary Restraining Order
in this matter was served on Defendant;
-
- B. Within twenty (20) days after the date this Order is entered, return to credit repair
clients all uncashed checks or other negotiable instruments, including checks totalling
over $36,000 in defendants possession at the time the Temporary Restraining Order
was served on Defendant, that have been received by Defendant, directly or indirectly, on
accounts arising from contracts signed between Defendant and the clients prior to the date
the Temporary Restraining Order in this matter was served on Defendant, and within twenty
(20) days after the date this Order is entered, or within twenty (20) days of receiving
payment, return to credit repair clients all payments that have been or may be received by
Defendant, directly or indirectly, on accounts arising from contracts signed between
Defendant and the clients prior to the date the Temporary Restraining Order in this matter
was served on Defendant. Include with each such returned check, other negotiable
instrument, or payment a notice to the client stating that as a result of an agreement
between Defendant and the Federal Trade Commission settling allegations regarding
Defendants ability to repair credit reports, those clients contracts are
rescinded and no further payments are due;
-
- C. Within twenty (20) days after the date this Order is entered, mail notices to all
credit
- repair clients who have payments which are due or may become due on contracts signed
prior to the date the Temporary Restraining Order in this matter was served on Defendant.
Such notices shall state that as a result of an agreement between Defendant and the
Federal Trade Commission settling allegations regarding Defendants ability to repair
credit reports, those clients contracts are rescinded and no further payments are
due;
-
- D. Within sixty (60) days after the date this Order is entered, provide (1) the names
and addresses of those clients to whom checks, other negotiable instruments, or payments
were returned and/or notices were sent pursuant to Subparagraphs B and C above to:
Regional Director, Dallas Regional Office, Federal Trade Commission, Suite 2150, 1999
Bryan Street, Dallas, Texas 75201.
VIII. ACKNOWLEDGMENT OF RECEIPT OF ORDER BY DEFENDANT
IT IS FURTHER ORDERED that, within five (5) business days after receipt by
Defendant of this Order as entered by the Court, Defendant shall submit to the Commission
a truthful sworn statement, in the form shown on Appendix A, that shall acknowledge
receipt of this Final Order.
IX. DISTRIBUTION OF ORDER BY DEFENDANT
IT IS FURTHER ORDERED that, for a period of five (5) years from the date of
entry of this Order, Defendant shall:
- A. Provide a copy of this Order to, and obtain a signed and dated acknowledgment of
receipt of same from, each officer or director, each individual serving in a management
capacity, all personnel involved in responding to consumer complaints or inquiries, and
all sales personnel, whether designated as employees, consultants, independent contractors
or otherwise, immediately upon employing or retaining any such persons, for any business
where (i) Defendant is the majority owner of the business or directly or indirectly
manages or controls the business, and where (ii) the business is engaged in or assists
others engaged in credit repair services; and
-
- B. Maintain for a period of three (3) years after creation, and upon reasonable notice,
make available to representatives of the Commission the original signed and dated
acknowledgments of the receipt of copies of this Order, as required in Subsection A of
this Paragraph.
X. RECORD KEEPING PROVISIONS
IT IS FURTHER ORDERED that, for a period of five (5) years from the date of
entry of this Order, Defendant, and Defendants agents, employees, officers, and
servants, corporations, successors, and assigns, and those persons in active concert or
participation with them who receive actual notice of this Order by personal service or
otherwise, in connection with any business where (i) Defendant is the majority owner of
the business or directly or indirectly manages or controls the business, and where (ii)
the business engages in or assists others engaged in credit repair services, are
hereby restrained and enjoined from failing to create, and from failing to retain for a
period of three (3) years following the date of such creation, unless otherwise specified:
- A. Books, records and accounts that, in reasonable detail, accurately and fairly reflect
the cost of goods or services sold, revenues generated, and the disbursement of such
revenues;
-
- B. Records accurately reflecting: the name, address, and telephone number of each person
employed in any capacity by such business, including as an independent contractor; that
persons job title or position; the date upon which the person commenced work; and
the date and reason for the persons termination, if applicable. The businesses
subject to this Paragraph shall retain such records for any terminated employee for a
period of two (2) years following the date of termination;
-
- C. Records containing the names, addresses, phone numbers, dollar amounts paid, quantity
of items or services purchased, and description of items or services purchased, for all
consumers to whom such business has sold, invoiced or shipped any goods or services, or
from whom such business accepted money or other items of value;
-
- D. Records that reflect, for every consumer complaint or refund request, whether
received directly or indirectly or through any third party:
(1) the consumers name, address, telephone number and the dollar amount paid by
the consumer;
(2) the written complaint or refund request, if any, and the date of the complaint or
refund request;
(3) the basis of the complaint, including the name of any salesperson complained
against, and the nature and result of any investigation conducted concerning any
complaint;
(4) each response and the date of the response;
(5) any final resolution and the date of the resolution; and
(6) in the event of a denial of a refund request, the reason for the denial; and
- E. Copies of all sales scripts, training materials, advertisements, or other marketing
materials utilized; provided that copies of all sales scripts, training materials,
advertisements, or other marketing materials utilized shall be retained for (3) years
after the last date of dissemination of any such materials.
XI. COMPLIANCE REPORTING BY DEFENDANT
IT IS FURTHER ORDERED that, in order that compliance with the provisions of this
Order may be monitored:
- A. For a period of five (5) years from the date of entry of this Order, Defendant shall
notify the Commission of the following:
(1) Any changes in Defendants residence, mailing addresses, and telephone
numbers, within thirty (30) days of the date of such change;
(2) Any changes in Defendants employment status (including self- employment)
within thirty (30) days of such change. Such notice shall include the name and address of
each business that Defendant is affiliated with or employed by, a statement of the nature
of the business, and a statement of Defendants duties and responsibilities in
connection with the business or employment; and
(3) Any proposed change in the structure of any business entity owned or controlled by
Defendant, such as creation, incorporation, dissolution, assignment, sale, merger,
creation, dissolution of subsidiaries, proposed filing of a bankruptcy petition, or change
in the corporate name or address, or any other change that may affect compliance
obligations arising out of this Order, thirty (30) days prior to the effective date of any
proposed change; provided, however, that, with respect to any proposed change in
the corporation about which Defendant learns less than thirty (30) days prior to the date
such action is to take place, Defendant shall notify the Commission as soon as is
practicable after learning of such proposed change;
- B. One hundred eighty (180) days after the date of entry of this Order, Defendant shall
provide a written report to the Commission, sworn to under penalty of perjury, setting
forth in detail the manner and form in which Defendant has complied and is complying with
this Order. This report shall include but not be limited to:
(1) Defendants then current residence address and telephone number;
(2) Defendants then current employment, business addresses and telephone numbers,
a description of the business activities of each such employer, and Defendants title
and responsibilities for each employer;
(3) A copy of each acknowledgment of receipt of this Order obtained by Defendant
pursuant to Paragraph IX; and
(4) A statement describing the manner in which Defendant has complied and is complying
with
(a) the injunctive and other conduct-related provisions of this Order contained in
Paragraphs I, II, III, IV and VII, and
(b) the terms of the monetary relief provisions of this Order contained in Paragraphs V
and VII;
- C. Upon written request by a representative of the Commission, Defendant shall submit
additional written reports (under oath, if requested) and produce documents on fifteen
(15) days notice with respect to any conduct subject to this Order;
-
- D. For the purposes of this Order, Defendant shall, unless otherwise directed by the
Commissions authorized representatives, mail all written notifications to the
Commission to:
-
- Regional Director
- Dallas Regional Office
- Federal Trade Commission
- 1999 Bryan Street, Suite 2150
- Dallas, Texas 75201
-
- Re: FTC v. John Mancini
-
- E. For the purposes of this Paragraph, "employment" includes the performance
of services as an employee, consultant, or independent contractor; and
"employers" include any individual or entity for whom Defendant performs
services as an employee, consultant, or independent contractor; and
-
- F. For purposes of the compliance reporting required by this Paragraph, the Commission
is authorized to communicate directly with Defendant.
XII. COMMISSIONS AUTHORITY TO MONITOR COMPLIANCE
IT IS FURTHER ORDERED that the Commission is authorized to monitor
Defendants compliance with this Order by all lawful means, including but not limited
to the following means:
- A. The Commission is authorized, without further leave of court, to obtain discovery
from any person in the manner provided by Chapter V of the Federal Rules of Civil
Procedure, Fed. R. Civ. P. 26 - 37, including the use of compulsory process pursuant to
Fed. R. Civ. P. 45, for the purpose of monitoring and investigating Defendants
compliance with any provision of this Order;
-
- B. The Commission is authorized to use representatives posing as consumers and suppliers
to Defendant, Defendants employees, or any other entity managed or controlled in
whole or in part by Defendant, without the necessity of identification or prior notice;
and
-
- C. Nothing in this Order shall limit the Commissions lawful use of compulsory
process, pursuant to Sections 9 and 20 of the FTC Act, 15 U.S.C. §§ 49, 57b-1, to
investigate whether Defendant has violated any provision of this Order or Section 5 of the
FTC Act, 15 U.S.C. § 45.
XIII. ACCESS TO BUSINESS PREMISES
IT IS FURTHER ORDERED that, for a period of five (5) years from the date of
entry of this Order, for the purpose of further determining compliance with this Order,
Defendant shall permit representatives of the Commission, within three (3) business days
of receipt of written notice from the Commission:
- A. Access during normal business hours to any office, or facility storing documents, of
any business where (i) Defendant is the majority owner of the business or directly or
indirectly manages or controls the business, and where (ii) the business is engaged in or
assists others engaged in credit repair services. In providing such access, Defendant
shall permit representatives of the Commission to inspect and copy all documents relevant
to any matter contained in this Order; and shall permit Commission representatives to
remove documents relevant to any matter contained in this Order for a period not to exceed
five (5) business days so that the documents may be inspected, inventoried, and copied;
and
-
- B. To interview the officers, directors, and employees, including all personnel involved
in responding to consumer complaints or inquiries, and all sales personnel, whether
designated as employees, consultants, independent contractors or otherwise, of any
business to which Subsection (A) of this Paragraph applies, concerning matters relating to
compliance with the terms of this Order. The person interviewed may have counsel present.
Provided that, upon application of the Commission and for good cause shown, the
Court may enter an ex parte order granting immediate access to Defendants
business premises for the purposes of inspecting and copying all documents relevant to any
matter contained in this Order.
XIV. RETENTION OF JURISDICTION
IT IS FURTHER ORDERED that this Court shall retain jurisdiction of this matter
for the purpose of enabling the parties to apply to the Court at any time for such further
orders and directions as may be necessary or appropriate for the interpretation,
modification or enforcement of this Order, or for the punishment of violations thereof.
XV. ATTORNEY FEES
Each party to this Order agrees to bear its own costs and attorney fees incurred in
connection with this action.
Dated: ___________________
W. DAVID GRIGGS,
Texas Bar No. 08491100
JOHN R. HOAGLAND
District of Columbia Bar No. 183699
JAMES R. GOLDER
Texas Bar No. 08089520
Federal Trade Commission
1999 Bryan Street, Suite 2150
Dallas, Texas 75201-6848
(214) 979-9378 (Griggs)
(214) 979-9395 (Hoagland)
(214) 979-9376 (Golder)
(214) 953-3079 (Facsimile)
ATTORNEYS FOR PLAINTIFF
Dated: ___________________
JOHN MANCINI,
an individual, doing business as
Credit Services,
DEFENDANT
IT IS SO ORDERED, this _____ day of __________________, 1998, at _______.m.
__________________________________
United States District Court Judge
APPENDIX A
UNITED STATES DISTRICT COURT
_______________ DISTRICT OF ______________
FEDERAL TRADE COMMISSION,
Plaintiff,
v.
DEFENDANT, et al.
Defendants.
CIVIL ACTION NO.
AFFIDAVIT OF DEFENDANT --------
[Name of Defendant], being duly sworn, hereby states and affirms as follows:
- My name is_______________________. My current residence address is
______________________________________________________. I am a citizen of the United
States and am over the age of eighteen. I have personal knowledge of the facts set forth
in this Affidavit.
- I am a Defendant in FTC v. Defendant, et al. (United States District Court for the
_____________ District of _____________).
- On [date], I received a copy of the [state full name of the Final Order as it
appears on the Order itself], which was signed by the Honorable [name of U.S.
District Judge] and entered by the Court on [date of entry of Order]. A true
and correct copy of the Order I received is appended to this Affidavit.
I declare under penalty of perjury under the laws of the United States that the
foregoing is true and correct. Executed on [date], at [city and state].
___________________________________
[Full name of Defendant]
State of ____________________, City of ____________________
Subscribed and sworn to before me this _____ day of _________, 1998.
_____________________________
Notary Public
My Commission Expires:
_____________________________ |