SSN Policy Manual

Demand Notice

a Recession and Creation of a New Contract

Name and address of person, company or entity upon whom the demand is being made (you or your)

Name and address of person making this demand (I or me)

You are hereby directed to provide copies of any and all information contained w i t h any of your files pertaining to the person making this demand. Since my name and address is particularly unique, it suffices as complete, necessary and sufficient identification (15 USC 1681h). Be advised: I consider all information associated with me, including but not limited to, my name, accounts, addresses, phone numbers, and associated identity numbers, as well as numbers, characters andor similar symbolic arrangementsto be personal, confidential, and uniquely mine. As such, arrangement must be made with me to use or store such information. Any permission - and/or authorization you think you may have had, regarding the use andor storage of such information, is hereby revoked and a new agreement is constituted beginning this day. You Are Entering a Binding Contract You are hereby granted permission to use andor store such information andor data while you compensate me at a rate of $500.00 per month due and payable on the first day of each month plus a 2% monthly interest rate on unpaid balance, plus $50.00 per occurrence late charge, plus a $100.00 billing fee. OR: You are hereby advised that you do not have my permission to store information regarding me or information attributed to or about me. Therefore you are hereby ordered to remove and purge any such data or information fiom your filling systems. Furthermore: Any permission, right, or privilege you think you may have had to store information or data regarding me is here by revoked. Furthermore: You are not authorized and do not have permission to use, for any reason, a number similar to such number the Social Security Administration may have assigned to me. Purthermore: You are hereby ordered to forward and advise me of any and all inquiries made regarding data or information which another party thinks you may have about me. Furthermore: Since this order directs you to purge your records of any data andor information regarding me, it is further expected, and you are hereby ordered to stop selling andor sharing such information with any other person or organization. Notice: Failure to notify me in writing, within forty-five (45) days of the date shown below, that you have purged from your files and storage devices all information andlor data regarding or associated with me, is regarded as your acceptance of these terms and your agreement to compensate me as indicated above. Signed and executed this duj; t?urriher of nzonrh , j 'cw by your typed nume

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Public Domain-CRA(01)-1999