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`IN THE CIRCUIT COURT OF THE STATE OF OREGON
`FOR Columbia COUNTY
`Small Claims Division 230 Strand St, St Helens, OR 97051 (503) 397-2327
`Plaintiff
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`Atlas Financial Services
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`22SC14555
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`CASE No.
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`CLAIM AND
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` NOTICE OF CLAIM
`SUBJECT TO UTCR 5.180(3)
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`Filing fee at ORS 46.570
`Interpreter Needed:
`[] Spanish
`[] Russian
`[] other: _____________
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`DEFENDANT 2
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` Columbia County
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`PLAINTIFF
`Atlas Financial Services
`PO Box 1180
`Vancouver, WA 98666
`800-758-6109
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` Columbia County
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`DEFENDANT 1
`RICHARD JOHN CHENEY
`59497 COLE VALLEY AVE
`SAINT HELENS, OR 97051
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`Plaintiff, an Oregon corporation in good standing, is duly licensed and is registered under ORS 697.015 and 697.031 and has satisfied
`the bonding requirements of the State of Oregon. See the Oregon Judicial Department’s website for information about debt-collection
`cases.
`I, Plaintiff, claim that on or about 06/08/22 the above named defendant(s) owed me the sum of $834.18, and this sum is still owing for,
`SERVICES RENDERED BY SPEED'S TOWING AUCTION DIVISION with interest accrued at 9% per annum from 05/27/2021
`until paid in full per ORS 82.010(a), and this amount is still due.
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`I have incurred fees of $57.00, and a service expense of $45.00
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`Claim Amt: $834.18
`Filing Fee: $57.00
`Service Fee: $45.00
`Total: $936.18
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`Form 15.010.1a-SMALL CLAIM AND NOTICE OF SMALL CLAIM – UTCR 15.010(1)(a)
`(Revised 11-13)
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`DECLARATION OF BONA FIDE EFFORT
`I, Plaintiff, have made a bona fide effort to collect this claim from the defendants before filing this
`claim with the clerk.
`Plaintiff attempted to collect through telephone calls and letters to defendant.
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`I hereby declare that the above statements are true to the best of my knowledge and belief, and that I
`understand they are made for use in court and I am subject to penalty for perjury.
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`))))))))))
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`Vs.
`Defendant(s)
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`RICHARD JOHN CHENEY
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`Date: 06/08/2022
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`/S/ Elisha Manny
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`Plaintiff Signature
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` (AGENT FOR PLAINTIFF)
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`Elisha Manny
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`Plaintiff Name (Print)
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`NOTICE TO DEFENDANT
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`READ THESE PAPERS CAREFULLY!
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`Within 14 DAYS* after receiving this notice you MUST do ONE of the following things in writing:
`● Pay the claim plus filing and service expenses paid by the plaintiff (send payment directly
`to the plaintiff, not to the court) OR
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`● Demand a hearing and pay the fee required (below) OR
`● Demand a jury trial and pay the fee required (below). This option is available
` Only if amount claimed is more than $750.00.
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`If you fail to do one of the following things within 14 DAYS* after receiving this notice, then upon written
`request from the plaintiff, the clerk of the court will enter a judgment against you for the amount claimed
`plus filing fees and service expenses paid by the plaintiff, plus a prevailing party fee. If you are not able to
`respond in time because you are in active military service of the United States, talk to a legal adviser about the
`Servicemembers Civil Relief Act.
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`COURT NAME/ADDRESS/PHONE #
`Columbia COUNTY
`230 Strand St
`St Helens, OR 97051
`(503) 397-2327
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`Defendant filing fees (to be filled in by the PLAINTIFF):
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`To Demand a Hearing if the amount claimed is $2500.00 or less........... $ 57.00
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`To Demand a Hearing if the amount claimed is over $2500.00.............. $ 102.00
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`To Demand a Jury Trial (Only if the amount claimed is over $750.00).... $ 170.00
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`If you have questions about filing procedures, go to courts.oregon.gov for information and instructions, or you
`may contact the court clerk. The clerk cannot give you legal advice about the claim.
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`*NOTE: If the plaintiff is an inmate (ORS 30.642) AND the defendant is a government agency or other public
`body (ORS 30.260), the defendant must respond within 30 days after receiving this notice.
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`Form 15.010.1a-SMALL CLAIM AND NOTICE OF SMALL CLAIM – UTCR 15.010(1)(a)
`(Revised 8-1-12)
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