Quall Cardot | Request for Information Collected by Quall Cardot LLP

This communication is from a debt collector. This is an attempt to collect a debt and any information obtained will be used for that purpose.

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REQUEST FOR INFORMATION COLLECTED
REQUEST FOR INFORMATION COLLECTED | REQUEST FOR IDENTIFICATION | REQUEST FOR DELETION OF INFORMATION COLLECTED BY QUALL CARDOT LLP (CALIFORNIA RESIDENTS ONLY)
Name*
First Last
Physical Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Last 4 Digits of Social Security Number*
Date of Birth*
MM
DD
YYYY
Quall Cardot LLP Account Number (if known)
REQUEST
Pursuant to the California Consumer Privacy Act, I hereby declare under penalty of perjury that the information provided above is true and correct and that I (the individual described above) am the individual that is providing the information above.
I hereby request the categories of information that you have collected about me.
- Request categories of information.
I hereby request identification of the specific information that you have collected about me.
- Request identification of specific information.
I hereby request the categories of third parties to which you have disclosed information about me.
- Request categories of third parties.
I hereby request deletion of the following information that you have collected about me. (I acknowledge that the information that I am requesting be deleted may be subject to various exceptions and that you will inform me if my request cannot be honored because of such exceptions.)
- Request deletion.
Today's Date*
MM
DD
YYYY
E-Signature*

REQUEST FOR INFORMATION COLLECTED