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Louisiana Department op ‘PUBLIC sasety ana Corrections OFFICE OF MOTOR VEHICLES. FRIEDMAN BRANDON ROSS 379,752 a 706 He SHREVEP ORT, Notice Date: 10/13/2015, Di #: 006426453 Cancellation Date: 07/10/2004 es Cancellation #: 1 ea Notice of Delinquent Debt Our records indicate that you were mailed a canceliation of insurance notice dated 08/30/2004 for failure to maintain compulsory liability insurance on your NISS. You now have sixty (60) days from the date of this notice to submit proof of current insurance or documentation of vehicle disposition (sold, traded, junked etc.) along with the appropriate payment for your delinquent debt. Non-compliance fee schedule: up To 20 DAYS: 3170 90 DAYS ‘91 OR MORE DAYS 125 $275 $525 Payment methods: ‘* Mallin: Money order, cashier’s check, or bank certified check made payable to the Office of Motor Vehicles ‘© Telephone: Credit or debit card - Visa, MasterCard, Discover or American Express (an addtional fee of $5.00 wil be assessed when paying over the phone} + Local Motor Vehicle Office ~ Cash, money order, cashier's check or certified check or e-check {additional $1 fee wil apply) or debit/credit card {adctional $1.25 plus 2% ofthe total charge) Failure to submit payment within sixty (60) days from date of this notice will result in the following: * Your debt will be deemed final delinquent debt + Your debt will be transferred to the Louisiana Office of Debt Recovery for collection * Your debt amount will increase to $525 plus a collection fee of 25% increasing the total debt for this insurance cancellation to $656.25 (Fee cap no longer applicable) as provided for in LA RS. 47:1676 (E) + Aclaim will be filed with the UNITED STATES TREASURY OFFSET PROGRAM where all payments “eligible for offset” will be seized, up to the amount of your debt plus any additional fees Additional collection tools will be used to collect the outstanding debt which may include reporting the debt to a credit reporting agency or suspending and/or revoking your professional license Should you have any questions regarding your delinquent debt, please call OMV at (225) 925-6146. Thank you for your prompt attention. “YOU DRINK & DRIVE, YOU LOSE” P.0. BOX 64896, BATON ROUGE, LOUISIANA 70896-4886 suey an005 (R275) (225) 925.6146 wonw.expressiane.org

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