Motion,Ex Parte: STERLING JEWELERS INC DBA KAY JEWELERS v. DEFORGE, JR, THOMAS E

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                                MOTION FOR DEFAULT FOR STATE OF CONNECTICUT

FAILURE TO APPEAR, JUDGMENT SUPERIOR COURT

AND ORDER FOR WEEKLY PAYMENTS www jud.ct.gov {NCE ll
J0-CV-49 Rev 6-99 INSTRUCTIONS TO PLAINTIFF/PLAINTIFF’S ATTORNEY RETURN DATE

PB §§ 17-23, et seq ‘Complete this Motion and an Affidavit of Debt (JD-CV-52) and send original ofeach | 9 /23/2016

to the Clerk's Office and one copy of each to alt defendants. Complete section | of

the Notice of Judgment end Order for Weekly Payments (JD-CV-50) and tile in DOCKET NO

TO: The Superior Court duplicate with the Clerk's Office HHD-CV-16-6066139S
‘Judicial Housing ADDRESS OF COURT (No, street, town and zip code)
BX] bistrict session __L]Gano 95 Washington Street, Hartford CT 06106

NAME OF GASE (Plaintiff v Defendant)

Sterling Jewelers Inc DBA Kay Jewelers vs. Thomas E. Deforge, Jr.
NAME(S) OF ALL DEFENDANT(S) AGAINST WHOM MOTION IS FILED

accordance with the Affidavit of Debt attached. ("X” one of the following)

The Plaintiff(s) also request(s) that an order for O NOMINAL [X] REASONABLE $
NAME OF PERSON SIGNING MOTION ADDRESS
Sara M. Gould Mark Sank & Associates, LLC, 666 Glenbrook Road, Stamford, CT 06906

‘SIGNED Cletaintire DATE SIGNED
x BilarTORNEY FOR PLAINTIFF(S) 02/25/2016
a ee ERVIGE: AFFIDAVIT... ys

The undersigned, being duly sworn, deposes and says that : (“X” one of the following)
the undersigned is unable to determine whether or not the Defendant(s) in this action are in the military or naval service
of the United States.

no Defendant in this action is in the military or naval service of the United States, and that. to the personal knowledge
of the undersigned (state facts showing defendant is not in such service):

Per a search using the Defendant's social security number and name through the Defense Manpower Data Center. Please see the
attached verification.

DATE SIGNED
02/25/2016
DATE SIGNED

02/25/2016

to certify that copies of the above Motion, Miltary Service Affidavit,

Complaint Fee. S$ Affidavit of Debt, and Plaintiff's Bill of Costs were delivered/mailed via
Entry Fee. ....... g 350.00 US. Mail, postage prepaid on (date): 02/25/2016
Sheriff's Fee. $ 61.61 to the following Defendants: (Enter name(s) and address(es) 0!
i |Defendant(s)).
Proceedings Before Trial Thomas £. Daforge, Jr.
ot nF | 20 Farms Rd
411.61 Broad Brook CT 06016

FOR COURT USE ONLY

Detainee
ATTORNEY F OR PLAINTIFF (S)

DATE SIGNED

02/25/2016

95483.001Department of Defense Manpower Data Center Results os of Fab-25-2016 07:58:58 AM
SCRA3O

Status Report
Pursuant to Servicemembers Civil Relief Act

Last Name: DEFORGE, JR.

First Name: THOMAS

Middle Name: E.

Active Duty Status As Of: Feb-25-2016

we =e
7 “Aetive Duty Star Date __Servée Comporient_ _*
NA NA
; - —
‘Active Duty Start Dato * ‘Active Dify End Date Status *_ Sonice Component

ade, Set RR
Upon searching the data banks of the Department of Defense ManpdWiérData Ceilg bastd of ie Information that you provided, the above isthe status of
the individual on the active duty status date as to all branches of the Uftifor 28-(Army, Navy. Marine Corps, Air Force, NOAA. Public Health, and

Coast Guard). This status includes information on a Servicemember or his/her unit receiving notification of future orders to report for Active Duty.

Moy Yh. Intl Don

Mary M. Snavely-Dixon, Director
Department of Defense - Manpower Data Center
4800 Mark Center Drive, Suite 04E25

Arlington, VA 22350‘The Defense Manpower Data Center (DMDC) is an organization of the Department of Defense (DoD) that maintains the Defense Enrollment and Eligibility
Reporting System (DEERS) database which Is the official source of data on eligibility for military medical care and other eligibility systems

The DoD strongly supports the enforcement of the Servicemembers Civil Relief Act (50 USC App. 501 et seq, as amended) (SCRA) (formerly known as the
Soldiers’ and Sailors’ Civil Relief Act of 1940) DMDC has «ssued hundreds of thousands of “does not possess any information indicating that the individual
is currently on active duty" responses, and has experienced only a small error rate. In the event the individual referenced above, or any family member,
friend, or representative asserts in any manner that the individual was on active duty for the active duty status date. or is otherwise entitled to the protections
of the SCRA, you are strongly encouraged to obtain further verification of the person's status by contacting that person's Service via this URL

https //kb defense.gov/PublicQueries/publicQuestions/FaqsAnswers jsp?Subject=Locating Service Members or Getting a Mailing Addresss_ If you have
evidence the person was on active duty for the active duty status date and you fail to obtain this additional Service verification, punitive provisions of the
SCRA may be invoked against you See 50 USC App. y 521(c)

‘This response reflects the following information’ (1) The individual's Active Duty status on the Active Duty Status Date (2) Whether the individual left Active
Duty status within 367 days preceding the Active Duty Status Date (3) Whether the individual or his/her unit received early notification to report for active
duty on the Active Duty Status Date.

More information on “Active Duty Status”

Active duty status as reported in this certificate is defined in accordance with 10 USC § 101(d) (1). Prior to 2010 only some of the active duty periods less
than 30 consecutive days in length were available. In the case of a member of the National Guard, this includes service under a call to active service
authorized by the President or the Secretary of Defense under 32 USC § 502(f) for purposes of responding to a national emergency declared by the
President and supported by Federal funds. All Active Guard Reserve (AGR) members must be assigned against an authorized mobilization position in the
unit they support, This includes Navy Training and Administration of the Reserves (TARs), Marine Corps Active Reserve (ARs) and Coast Guard Reserve
Program Administrator (RPAs). Active Duty status also applies to a Uniformed Service member who is an active duty commissioned officer of the U.S.
Public Health Service or the National Oceanic and Atmospheric Administration (NOAA Commissioned Corps).

Coverage Under the SCRA is Broader in Some Cases

Coverage under the SCRA is broader in some cases and includes some categories of persons on active duty for purposes of the SCRA who would not be
reported as on Active Duty under this certificate SCRA protections are for Title 10 and Title 14 active duty records for all the Uniformed Services periods
Title 32 periods of Active Duty are not covered by SCRA, as defined in accordance with 10 USC § 101(d)(1),

Many times orders are amended to extend the period of active duty, which would extend SCRA protections Persons seeking to rely on this website
certification should check to make sure the orders on which SCRA protections are based have not been amended to extend the inclusive dates of service,
Furthermore, some protections of the SCRA may extend to persons who have received orders to report for active duty or to be inducted, but who have not
actually begun active duty or actually reported for induction The Last Date on Active Duty entry is important because a number of protections of the SCRA
extend beyond the last dates of active duty

‘Those who could rely on this certificate are urged to seek qualified legal counsel to ensure that all rights guaranteed to Service members under the SCRA
are protected

WARNING: This certificate was provided based on a last name, SSN/date of birth, and active duty status date provided by the requester Providing
‘erroneous information will cause an erroneous certificate to be provided

Certificate ID: H9U9S79512A8470AFFIDAVIT OF DEBT
RE: MOTION FOR DEFAULT

FOR FAILURE TO APPEAR, STATE OF INI

JUDGMENT AND ORDER FOR SUDERION COURTS

WEEKLY PAYMENTS.

JD-CV-52 Rev. 5-99 INSTRUCTIONS

PB. §17-25 *iermecky Paynnia UDcveaa) we Notce odudpran ans Ose o Pryrats UGeevab) Sb Cos Once

2 Attach a copy of the contract. tease oF oter document,  apoicable, to the complated afidavit

4 Uciaineng atomay’s fees. 9 copy of the agreement must be attached
5 Sond ona copy of the completed Affidavit and Motion to each dafendant,

TO: The Superior Court

‘ADDRESS OF COURT (No.. street, town. and zip code)

‘NAME OF CASE (Plaintiff v Defendant)
Sterling Jewelers inc DBA Kay Jewelers vs Thomas E. Deforge, Jr

NAME(S) OF (ALL) DEFENDANT(S) AGAINST WHOM MOTION IS FILED
Thomas E. Deforge, Jr.

The undersigned deposes and says that (s)he is the] Plaintiff or El (title) Special Account Analyst of the
Plaintiff and Is familiar with the facts stated below. The Defendant(s) is/are indebted to the Plaintifi(s) as follows:

The undersigned further maintains that they are an employee of Sterling Jewelers Inc and as such are familiar with Plaintiff's
record-keeping systems relating to the information in this Affidavit. They further maintain that any documents attached
hereto are true and accurate copies of the originals.

The outstanding balance the Defendant, Thomas E. Deforge, Jr., owes the Plaintiff, Sterling Jewelers Inc DBA Kay Jewelers, in
connection with the account referenced tn the Plaintiff's Complaint is:

Opening Balance $5,835.92
Less Payments Made __$0.00
Balance due $5,835.92

Last payment made on account: 07/07/2015

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‘4F0000095483.003, sx Se
S ° Mogan E. Kennard
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Le Rf My Commission Explras: 12/09/2018

Subscribed and swom to before me:Page 1 of 2

KAY

JEWELERS
Every kiss begins with Kay®

kay.com
Customer Name _ Thomas E Deforge Jr
Account # [~ 7575
Questions? - Visit us at www kay.com

Please send billing inquiries and
(do not send payments to this address)

P.O. Box 3680
Akron, OH 44309-3680

nce to:

New Balance $5,835 92
Statement closing date 10/17/2015,
Days in billing cycle 30

Roa Pete)

1201000606

ssease2 |

New Balance

Balance Payable To Avoid Further interest Charges $5,835.92
Minimum Payment $285 00
Past Due $755 00
Total Due $1.040 00
Payment Dus Date 14/12/2015

Late Payment Waming: !f we do not recelve your minimum payment
by the payment due date listed above. you may have to pay alate
fae of up to $37 00

1 Minimum Payment Warning: If you make only the minimum

payment each period. you will pay more In interest and it will take you
longer to pay off your balance For example

payment
{fyou would tke information about credit counseling services. call

1

1-866-477-6322 :
. 1
{

Interest Charged *

“Description
Interest Charges.

Trans Date
10/97/2015

Post Data
10/18/2015

TOTAL INTEREST FOR THIS PERIOD

$111 01
$114 04

015 Total$ YearTo~Date |. :

Total fees charged In 2015

fotal Interest charged in 2015

$226.62
$642.50

NOTICE SEE REVERSE SIDE FOR IMPORTANT INFORMATION
PLEASE DETACH AND RETURN THIS PORTION WITH YOUR PAYMENT

New Balance nanos: 835 92
Total Due $1,040.00.
Bmantfocac ts

Plosse make your check payable to KAY JEWELERS
Payment mading address 1s for remitance only

KAY JEWELERS
P.O.Box 740425
Cincinnati OH 45274-0425
To review importat
Change? Chee Box and PO Sox 70065
‘complete Reverse: ‘Crcanngtt OF 45774-0425

57500 L040000028 5005835423

KAY

veweLe es

000606 Tas bogne wae
kay com
#BUNCKTF
# LbLO0043L7785755 #
Thomas E Deforge Jr
20 Farms Rd
Broad Brook CT 06016-1409
ices, chick herPage 2 of 2 1201000606

UT STa=33 OF -LseomOre ELEN One
‘Your Annual Percentage Rate (APR) Is the annual Interest rate on your account
‘Your Monthly Periodic Rate (MPR) is the monthly Interest rate on your account

Annual Parcentage Rato(APR)

Monthly Perlodis Rate(MPRY fe

mS

$11101

Messages.
eek, AGCOUNT Is si ous PAST DUE‘
The status of your account Is repor lal lit Reporting Agencies. We may be able to
assist you

precting your financial obligations. Please contact us about our
Assistance Programs at 1-800-: 885. We can be reached Monday - Thursday 8am ~ 10pm, Friday 8am —
9pm, Saturday 8am - 5pm and Sunday Noon — Eastern Time.
‘OR Visit our website, kay com. to make your payment online

“*ATTENTION***
Your optional Payment Protection Plan has been cancelled since you are more than 90 days late in
making your account payment.

You may pay by phone to receive Immodlate credit to your account at 1-800-877-3616.
To take advantage of the pay by phone option. your complete account number and the last
4 digits of your social secur number will be required. providing this information to us,
you are authenticating your ition to an immediate withdrawal from your deposit account.
You will have the option to cancel! the payment prior to completing the transaction.
$s

To review important notices, click here[Select the

{J INDIVIDUAL ACCOUNT: in one name | [ } JOINT ACCOUNT: Is based on credt {1 COSIGNED ACCOUNT: Cosigner and applicant
and based solely on your own credit worthiress of both applicant abd yount applicant ‘must each complete separate applications. Only applicant

worthiness Applicant # marned may Both may use the acc
apply for an indrdual account responsi

‘Statement Malling Address:
(it afferent than above)

‘The méormayor furaushed on ts acgbication is com plete anc accurate. 20 the best of my

wt" his applicator and later  connactior with an update. renewa additonal extensior
Ail be tole SE ET Te aac oe BoE agency shat
r

Upon.
TION IN THE

FE EE ET TT

EMENT, TE rT WHOR AEE WCOGPOBATEO GY RETEENEE ON ARO HAUT
‘contact! ation | provide. Inetudiag eal phone numbers even tem charged under my

ount and will be lable and will be permitted to use the account, but both will be fable

le for payments must sign below. {| and responsible for payments.
NOTICE: Alimony, chid support or separate maintenance need not be revealed if you do not wish to rely on it to obtan credit.”

aw °

‘providing my E-mail address. | consent to
hate Ena eramanletoes shout Ane

‘Seli-Employed? vw

knowedge ‘Staring Jeweiers Inc. may wrvessigate “ty credit record and obtan a consumer reper: wn connector
of credit. +t or refinancing of an extensior of credit or collecbor of the account. ary over accourt | have

KAY JEWELERS AT PQ BOX 3680. 1 OH £4309-

f 'Y JEWELERS AND KAY OUTLET RETAIL INSTALLMENT CREDIT
USC bra OF APPEARED TIME HATE EPENED XCOPY GF TART AGREEMENT
$324

"0300-735 0000 (R_*0/14) 058127SUMMARY OF KAY JEWELERS AND KAY JEWELERS OUTLET CHARGE ACCOUNT TERMS

TULSA SL Re L SSMS UNLS MLD Cor Ross OV ETcL Ne (eS)

Annual Percentage Rate
(APR) for Purchases

How to Avoid Paying
Interest on Purchases

Minimum Interest

Agreement for details.

17% 0 24.99%. this ap

'
Fivaries by state. See Paragraph 3 of the Retail Installment Credit
t

Your due date is at least 25 days affer the close of each billing cycle. We will not charge you interest
on purchases if you pay your entire balance by the due date each month.

None to $1.00. The minimum interest charge varies by state. See Paragraph 5 of the Retail

Installment Credit Agreement for details.

For Credit Card Tips from
the Consumer Financial
Protection Bureau

To learn more about factors to consider when applying for or using a credit card, visit the website of the
Consumer Financial Protection Burgau at: http/Avww.consumerfinance.gov/learnmore,
t

+Late Payment
+ Returned Payment

T
Up to $37 This fee varies by state See Paragriph 11.B of the Retail Installment Credit Agreement for details.
Up to $37 This fee varies by state. See Paragraph 11.A of the Retail Installment Credit Agreement for details.

How We Will Calculate Your Balance: We use a method called “average daly baw (oe new purchases)’ :n all states except MN anc NM. we use a method called

“average caly balance (excluding new purchases)” c; MN and NM. See the Retai!

nant Credit Agreement for more details.

Billing Rights: Information on your rights to dispute transacbons and how to exercise tose aghis is provided in your Retall Installment Credit Agreement,

KAY JEWELERS AND KAY JEWELERS OUTLET RETAIL INSTALLMENT CREDIT AGREEMENT
‘n tus Kay Jewevers and Kay Jewelers Outlet Retad Instaflment Credit Agreement (‘Agreemer=). ‘he
‘words ‘you" and ‘your’ refer fo any person who signs the Application for tus Account or tis Agreement,
‘orhas requested and is ssueda Kay Jewelers and Kay Jewelers Outlet credit card. “We” “us” and “our”
teler to Sterling Jewele’s Inc.. d/bla Kay Jeweers and Kay Jewelers Outlet, P.O Box 3680. Akron, OH
44309-3680. fis subsdianes and affiliates and ary persor to whom this Agreement, your Account.
and/or ary amount due on your Account may be assigned “Account” means your Kay Jewelers and
Kay Jewelers Outlet Account, which will be govemed by this Agreement "Authorized User’ neans
‘any person you pemat to use your Accou"t oF who has apparent axthorty tc do so “Card” means any
access davice or method by whch the Accour: nay be accessed. mouding the Account number "APR?
means Annual Percentage Rate “Interest” and “interest Charges’ mear the penodic finance charges
‘hak are calculated pursuant to Paragraph 5.

1. Promise to Pay: You promse to pay us forall credit extended on this Accourt and all other emiounts
‘owed fo us under the terms of this Agreerient You are responsible for any ‘vansactions you make or
otherwise cur and any transactions mourrec by anyone else you have av‘honzed to use this Account,
‘You are also responsible for the use of each Card ssuec on tus Account. You may “equest add"vonal
Cards on ths Account for yousel or others. and you may permil an Authorized User fo have access
to the Carc or Account number However, # you do so. you must pay us for al charges made by those
petsons. See Paragraph 23 for details. When you sig? the Aootcatior for this Account, you wil be
agreeng 1c everything written here. Tnerefore, before you sign the Applicaton, you should reac this
erste Agreement 7g inforration you provide on the Application shat wentiies you 1s wicorporated v1
‘tus Agreement by “elerence. This Agreement will not be effective unless and unt] we approve your

Appicaton

2 Balances Each transaction o° group of trarsacbons subject to the same terms ‘such as the
applicable APR and duraior) shal! be considered part of the same balance The balance subject
tc the Regular APR end the other “egular terms set forth m ts Agreement 1s your Account’s reguiar
‘parance We calcutate you’ total regular balance each biling cycle by taking the regular balance for
‘he pror biling cycle. adding any regular purchases. fees. Interest Charges, other finance charges.
and other debits, and subtracting any payments or other credits, as of the closng date for that bing
cyde Balances subject to aromobonal terms are promobonas batanoes: We caculate the total of ary
‘promotona’ balance by adding the promotional purchase tor that balance and subtachng ary payments
allocated to tha’ oromotonal balances or other credits. You authorize us to allocate any payment or
‘edit among your regula: and promotona; balances, ir any manner excluding na manner that may be
eneficral to us, except where otherwsse prohibited by applicable law The total of your regular balance:
‘and any promotonal balances ts ‘he “New Balance” shown on your statement

3. Your Regular Annual Percentage Rate: tf interest Charges (wtvch are FINANCE CHARGES) are
assessed dunng a biling cycle. we wil use the following Arrwas Percentage Rato (the “Reguiar APR’)
‘and corresponding monthly periodic rate, sutyect to any promotional ters.

if you reside in the stato of: | We apply the month periodic rate of _| ANNUAL PERCENTAGE RATE
fF imeesn |e
1.5% over $750.90 18%
ESREX Ym me
CO. GAIN. US. OX,
sn fos
[a
1%
8%

ow fm

[WANG sae
175% to $499.99 2

15% for $500.00 8 more 4
2.0825% 24.39%

4. How o Avo Paying terest on Purchases: au cal oe 25 a cere doe at
jcycie, We wil not you ntetest i any biling cycle m which payments recened required
pats uth by eo cen exons a Baca Pape To ad Fie res?

‘on your ding staternent. The “Balance Payable To Avoid Further interest ‘shown on your
tiling statement 1s your New Balance less ety orton ofa promovonal balance for whch payrient “ot
required to avo tha emoostion of “terest un a dling cycle,

MLLMO, NY, "N, and TX, where wo wil enpose a mirumusn interest Charge
CHARGE), and n Ai. AZ, CO. IN.LA ME MA MA, MS, MT ‘WU. OK PASC. So. VT. WV anc WY,
where we wil mpose a mwrumurt Interest of $0 50 (whuchis a FINANCE CHARGE) Furtherrnore,
‘ere 6.20 munurU rons Care A CIA MD AE WM. AC we Yvert we
-calculanion used to determine interest ‘may cause Tunor

moar tr The applicable monthly penodic rata for a balance is the applicable Anrual Percentage Rate
dvidec by twelve (12), anc rounded to the fourts deornal piace.

6. Minimum Payment: You agree to pay a least the ‘Mirwmurs Payrnent” shown on your bling statement

1
1
1
1
1
1
'
t
t
1
1
+
1
1
1
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t
1
1
1
1
a
+
1
'on or before ds due date Your total Minwnura Payment ss the sum of any mywum payment for your
“eguar balance anc for ary promotiona; balance We base your munimum payment ‘or your regular
balance on tha *wghest "Regular Balance” (the New Balance less ary balance wh a separate reumur
Dayment) on you’ Account since the Reguiar Bavance was ast "educe’ to 2ev0 (lhe "Highest Requtar
Balance", Your balance is considerec to be zero when opened or when tere tsa credit balance. We wil
recarculate the “rune payment a subsequent retum made. and the Balance is below the
Highest Regutar Salance. The maw 92 for your regular balance will be calculated as folows,
except any sunumum payment in excess of $25.00 wi be rounded up to the nearest $5 0 morement, and?
‘the munmum payment for your “egular balance wil never exceed the Reguias Balance

$500.01 10 $750.00
$750.01 10 $1.500 00
1500.01 £6 $2,500.00

$2500.01 & Up

If your difing statement shows & nal balance (such as a “No Interest’ baance a ‘Reducec
\nterest Rate" balance. ancior an’ (18; Month” balance), the minus payment for tus dasanoe
shall be calculatec as specified r Paragraph 7 Trere shal be no separate, addSonal murmur payment
‘component for a non-reguiar. nor-promabona: balance unless we provide you “otice of such a requirement
7. Promotional Terms: Al our sole discretion, we may offer you promoSonal terms for a naw purchase
for an existing balance Any promosor wil be subject to the terms of the aromofonal offer an¢ ‘his
figeenent Bow a descotr of sare oe promotor rns a wemay fer mov se Ssoefon
rv Ema to te

No Interest If Pat i: Fusl Plans, 4 eny single purchase 1s designatet as purchasec under a “0 meres!
pad ‘UP plan, you wil pay no «cerest d tie promotional purchase 1s paid full in the designated
prociobonal Sm period (wtuch may be 6 months. 12 months. or another petiod specified r the promotion)
lf the promobonal purchase balance 1s not pad mn fyl by the end of the |promotora period. or
we do not recerve a requved munomum paymer: witur 60 days of ts due date. teres! wil be char
fo your account at the Regutar APP from the promotonal purchase date. Uniess she promotion states |
there «s "0 separate promotonal ‘wimum payment. the required minumum payment for the promotonas
‘atance wil be ‘he amount of the promotional purchase divided by the promotional penod, rounded up
{o the nearest $5.00 morement, However # the promotion species a mmwmum purchase amount, 0
case will the mrumum payment be less than the swumum purchase amount dividec ay ‘he Dromctonal
‘penod, wruch may shorter your repay'ner* penoc n certar mstances. The muneur payrnent will never
Demore thar the reraning promotona purchase baance lf fe promodon states that there sno separate
promotional ruumure payment, ‘her: the amount of the promotional balance will be moluded m your regular
‘datance for the purpose of calculating your urumum payment

Wary sngie purchase ws designale¢ as aurchased under a reducec vate plar. we will

‘promotional

APP al the exoraion of the | penod or d we do not receive a requiec minurmum payment within
60 cays of ts due date See! '3 for detals. Untess the promotion states that there is 10 separate
‘promotional mumym requires mnumum Jayment for ‘he promobonas balance wit be “ne

payment,

‘promotiona, balance dvided by the “wnber of months the promotona peng, eutplied by @ factor based
‘on the appcabe Reduoed APP. anc “ounded up to the nearest $5 00 increment or $25.00, stuchever tS
Gfeater For example, # the promoton has an meres! cate of 10.99% and the plan 1s for 24 months, the
requred ewnimum payment determined as follows 1/24th of the purchase price (less any down payment}
multiplied by 1 1185 and rounded up to the nearest $5.00 {or $25. wiuchever 1s greater, The muwnymn
payment wil never be more thar the “emanng promobona urchase balance. However, # fre promotor
specties a mnumur purchase amour ir no case wil the "nwmur Daymer: be less tha” the srownur
pwrohase amount dvided by ‘ve aromotiona, penod, whuck may shorten your repayment penod m certain
instances, The muneny | r? wil naver be more than the “emamning promotional purchase balance.

Eighteen (16) Montt Plan, 3 ary single purchase 1s designated as purchased under the Month
Plan” no Interest will be mmposed or the promotional purchase ‘or the fst twelve (‘2; ~onths # you ake
al required muumur payments by the end of the 120: nontt Uf we do not recewve al “equred eunmum
‘payments by the end of the 12" morth, orf we donot ecerve a requrec runmum payment wihn 60 days
‘of ds due cate, Interest wi) be charged tc your account at the Regular APR from the promotional purchase
dale. Atterthe frst relve (12; months, we wil use the spectied reduced APR (the “Promotona) APA’) mt
fieu of the Regular APR. to calculale interes! for the “ext sox (6) months. The Promotiona) APR wil retum
10 your Regular APR at the exprasor of the sox Tord peno or we do not recewe a Tequitec minimum:
payment within 60 days of 4s due cate See Paragraph 3 ‘or details The vequred srunrum sayrent for
‘he promotion: baance wit be 1/18 of the promotional purchase mulSplie¢ by 1.030 end rounded up
to the nearest $5.90, but not less thar: $150.00 or “ot iess ‘han $250.00. based on the terms of the offer

& Payments: Al payments Tust be mailed or defvered to us at She address showr on the front of the
bing statement and aocomparved by he payment sip You must pay as m US colars drawn an Sands
or deposit in the United States using @ check or similar mstrumient (hal will be arocessed and honorec by
‘your bank. Oo ot send cash payments. We can aocep! «ate or parual as well as payments chat
Teflect ‘pa yl” or other “estnctive endorsements, without losing any af our nghts undes us Agreement,
‘We credit your payments in accordance wh our payment mstructons on the billing statement.

9. Disputed Amounts and Notices: Al notices
‘notoes. must be sert to us at PQ Box 1799, Akron, OH 44309-1799. Legal nobces sent to any other
adgresses wil not safsty any legal requrement shat you provide nofice to us.

10. Arbitration for Disputes - No Jury Trials or Class Actions: This paragraph describes "ow al
‘Clams (as defined ir subparagraph A below) willbe arbitrated. af the elacton of you orus on ar: nddual
{non-class, non-representafve) basis sistead of igatec n court

A The term "Clam? means any clair. dispute. or conyroversy detweer you anc us ansing from or relating

“2 legal achons, nuding danicupty

Soy Crd. sou Foon 08. fen geek as lao jement that you may have
us oF the "eaSorships Sus Agreement, cluding the vaidiy. enforceability or scope
of tus arbdraton prowsion or the Agreement. Clams ansing mn the past. present, of futur, including Clams

‘ansing delore the opening of your Account, are subject 10 arbitration “Clare” ncludes, wou! irataton,
tarng ‘hal arse trorr oF relate to eny appbcaton ‘or your Account or any adverbsments, promobons, oF

(a0n-class. nion-epresentatve) basis. “Clam” also mioludes clarms by oF against any Sw party relating to
‘or ansng from your Card. your Aacoun’, or Sus Agreement Tha ter ‘Clavt” to be gwen tre broadest
possble mearwig that wil! be enforced. “Administrator” “neans the American Arbivation AssoowSor, 335,
Matisor Avenue. New York, NY 10017, enrw adr org, (800) 778-7879, or JAMS. 1920 Mar St, Suite 300,
irvine, CA 92614. wna yamsadr.com, (949) 224-1810

B We OR you have the nght to requve thal each Clarr be resolved by arbitrator on an undhvidual (non
‘class, nonepresentatve) basis. A Clam wil be arbitated d (1) botr we ane you or (2! only one or the

arbitrator provision ¢ made pursuart Ic a transaction

by he Federal Arbitration Act (‘FAA (9 JS.C §1, et seq)

G-tweor you request arbitration Clim we and you wnat rave
is means (1) there will be no Jury trial on the Claim, (2) there will be no pre-arbitration

loparicateas arepesentte or menberofary dass round einen
me Subject arhration Wer you may ect trate any Cen at ny
‘has been fled In court and trial hes begun or final judgment has been entered.

D The party nitafing an arbitration shall select an Adrwrstrator Sor the sted above (f
none of the Adcurestrators sted above wil accep! "We arbivation. ‘ne aratvahon will be admeustered by
‘ap admunstrator or adjudicated ay an arbitrator. upon which you and we agree @ wrting. The arbitration
shal be governec by ‘he procedures anc rules of the Adrustrator and ths Agreement, wtuch need not
ply federal. state oF local rues of arovedure and evidence The Admnustalors procedures and rules
may imi the discovery available to you or us. You can obtan @ copy of an Adrunstrator’s procedures:

wil temporary advance ic you the Sing, adrwesratve, anc he
aganst us ‘but not # the Clans agamnst you) excess oF ay filng fee you would Kave been required to
pay Se the Clare ma stata or federal court (wtuchever s less) nthe judical distict in which you reside
‘Atta end of the arbiraton, the artytator wil decide f you have to repay the advence (and you do have
to repay. you agree Wo do $0} Uriess law “equres otterwise. we wil pay our, anc you wi) pay
your, ‘experts’ and wtinesses fees The araivator wil apply anplicabve substantive iaw consistent
‘wth the FAA anc appicabe statutes of imitations. wib honor dais of al law, and
‘wil have ‘he power to award to a party any damages or other relief prowded ‘or under applicable law
The arbitrator wil make any award ir wrttng and, i requested by you oF us, wil provide a bref statement
ofthe reasons for the aware

Judgment upor the arbitrator's award may de ertered any cour with junschcton. Tre arbivatorsRev 10/14

> AY on BS) WHAT DOES KAY® JEWELERS AND KAY® JEWELERS

OUTLET DO WITH YOUR:PERSONAL INFORMATION?

t
Financial companies choose how they share your personal information. Federal law gives
consumers the right to limit some: but not all shoring. Federal law also requires us to tell you
how we collect, share, and protéct your personal information. Please read this notice
corefully to understand what werdo.

The types of personal information we collect and share depend on the product or service you
have with us. This information dn include:

* Social Security number and adcount balances
© payment history and transactidn history
* credit history and credit scoreg

When you are no longer our customer, we continue to share your information as described in
1

this notice. i
t

t
All financial companies need to bhare customers’ personal information to run their everyday
business In the section below, we list the reasons financial companies can share their
customers’ personal information;ithe reasons Kay® Jewelers and Kay® Jewelers Outlet
chooses to share; and whether ypu can limit this sharing.

such as fo process your transactions, maintain your
account(s), respond to court orders and legal
investigations, or report to credit bureaus

| For our marketing purposes -
to offer our products and services to you

For joint marketing with other financial
companies

For our affiliates’ everyday business purposes —
information about your transactions and experiences

For our affiliates’ everyday business purposes ~
information about your creditworthiness

For our nonaffiliates to market to you

Lo —_
7
CMesiions? it www.kay.com or www. kaydutlet.com

Page t

— _—__—
i
:
:
t
:
ornare 1026 am|To protect your personal information from unauthorized access
ard use, we use security measures that comply with federal law.
These measures include computer safeguards and secured files and
buildings!

How does Kay@ Jewelers and
Kay® Jewelers Outlet protect my
personal information?

——___1—__—_. -—___—--
We colt your personal information, for example, when you

How does Kay® Jewelers and
Kay® Jewelers Outlet collect my

personal information?

© open fon account or give us your contact information
:

* pay your bills or apply for a loan

* use ypur credit or debit card

We also dotec your personal information from others, such as credit
bureaus, bfhilictes, or other companies.

Federal Iw gives you the right to limit only

. sharig for affiliates’ everyday business purposes — information
about your creditworthiness
© affilictes from using your informaton to market to you

Why can’t I limit all sharing?

Stote laws and individual companies may give you additional rights
to limit shbring

Companies related by common ownership or control They can be
financial obo nonfinancral companies

° kg yeleese and Kay® Jewelers Outlet does not share
lites

Nonaffiliates Companies not not related by common ownership or control They can be

financial dad nonhinancial companies

e Koy@Jewelers ond Kay® Jewelers Outlet does not share with
nonaffhates so they can market to you

Joint marketing ‘A formal dgreement between nonaffiliated financial companies tht
together market financial products or services to you.

Koy®iJewelers and Kay® Jewelers Outlet does not joint market.

Cher ihpomubiniommtion

MKayindd 2decison regarding ary stars wil be final and boxing. except for ary appeal right under FAA, The
oven vay Wl 3 he eed cats. Ts aremen lo aint eal uo ery sisperson
lermmation, revocation or ‘of the Agreement or your Account, and any danicuptey tc the exient
Srna unseat oe

F iRary par of fis atstraSon provsion cannot be enforced. she rest ofthe e-bevaton provisor wi continue
‘a apoly However an arotator caro erlarga "ws of her avthorsy over the adjudicator of Clams beyond
that provdec by fs e-btratior aromsion by enforcing only part of Cus arbitrafon provision. an arbitrator
determines tha? appicable law requires Sus avvtrator provision to be enforced in a way that woulc :esuft
‘7 greater authorty over Clams than otherunse allowed. such as the adjudication of claws on a class or
reroerteve bas, Rene ata rst decrees he deodeenc shal ly Rene esto cast
or other body wet sutfiaent authonty In the event of cat or neorsseng Sevoe ‘tus arbtiratior
porson ard e hares des oF ofher provisions of res Agreement, ths arbiration provision wil gover.
A. Retumed Payment Fee: 'f any chock, instrument, or electronic authorization used 0 Day us i Not
honored upon frst presentment, (lor residents of MD. second presertment, even the check. mstunent or
dlacro aborzabon ey honor. wo nay che Yo. 2 Reed eure ayer en Ext:

{or specified states below tus ‘ee 1S up 10 charged general wi be fe
orriat Sy lw set oe seo mara Tis ero Ue We ee gene rol eed
‘he amount of fhe requred muemum payment due mmediately pro’ to the date on whch the payment 1s
“sme th aon fe st ne you Ces 3 rel al erode oe wt eee 2500
tat zeturied fe wf ot erost $3700

$20.90
Si rmsmanvananaeam

Wanda any Regt Pyne fe oor Rass og re
B. Late men Fe: eso eoove yr rar sale

Payment ney payne for watwn sever <7)
VA an loaner A KZ 90,00 FCA CN, TS

eae s

OK SC WV. anc WY we ieen (15 days CAME, anUA. tert eX athr
fey 30. ee i a we ubrpiss de oye maxis
coat prt wD eect ee

Sate prt dv unto dt ere ares poor
tobe ote ron Ss aoa a fy Woe ed you
pay lato aga ite bare sing ses eee

3
—— i ae
than $7.00,

Oey te eensiecee

wee te ToS ATTT
‘We will ade any’ ary 2's Payment Fe to your Aco’ regulates,

12, Security Interest: You grant us a purchase money security interest w each iter of merchandise
2 Acasa sage oe pao ee ‘preg ‘exceot ir CT MO jon any purchase
aide $150.00, and NY or 2G}, ur such tor ok merchandise sad for nud

tn NY. not to exceed vers tr date a puchase ts bosed fo your Ager SOB ot
Dap. al tery et #0 Zou ooabranora penn 94

Tercardse, your payments snswance preruum, next to an
Late Payment es. ay roar Retenet Fa

ees any ped ares. ard

i esc Co 9 order nwo? tho purchase was m
ae ion Costs: yo. lle gay ary rerum payers wend. €o rostet of
ornance. 3° realization of colatera, s significantly wxpared, tc the extent permuttes by
ree ‘wil be a defaut, and. subject to any "ght you may nave under state law to receive notice
‘and to cura such default, we may dectare Che entire unpasc balance on the Accoun! due and payable
ieee ye TO Ee I ee ec woh taal Gan
a (*2) month period). We also may repossess any artcle of merchandise «: whuch we stil vetact
‘a securty interest. but we wil do so anly w the ‘raner and to the extent permitied dy applicable law Ut
tha Accours ss efored to ar (Snot ov" salaned 8 and we bring a Sul agamnst you
ou maura traf to the ful amount owed and any ary coy: coes you afe8 a
ms aci aan eres ampshie

reasonable js lees. Youprevalr @ ut

aganus de 2s mer. yor suocesstuly.

“gory neyo si toe

on ever if
wil rot be for

ou Tate og ec banc ders Weng. hn tenons ce a
of you stated cred lim’. wa do sc, Cus wil not mnorease your credit imi. “c
wah Oa eld ban iss a5 ca og Cio Ousona Seven Dapatnert a

isctun In This Agent the extent byk chan; ‘term of this

is went: To the extent law, we is

including ‘Annual Percentage 1 fe, os well as edd sndorgubtec tes We We

Il furnish you notice he change to the exenreaulted by aw pemited by applicable tn
‘any new terms may at our option be applied to any balance existing on the Account at the time of
Change, 2s well sto any subsequent ‘subsequent transactions.

{6- Cra nveshgaor: oo adhorzo ust eeshyas your cet story by stem cosine pots
and by makng dec ures of tusmesees wher you have gorau ant ware you OK Me ay
eves a onset ee Fo ym CORSUTIGE ‘agencies in considering your appiication for Sus
‘other account you "ave with us and later v2 connecton wath an update, "enewal. extension

van. relocate wa ne
‘Sisclose whethe” a consumer repor: was requested and the name and address reporting
sr counog ok aap tn dete knee ea
missed payments, or other defaults on your Account may be reflected on your
Mir rcussto yactsted nels

payers ut extending
ean waving our right 1c have ‘ute
payments: nts made when they are due, manitemrimcrenyes rome
‘oF fea when fs due under ths
8 lephone and Text Contacts, o ng a amet ae to
‘9 Tontored andior "ecorded wo (of oF ow
your Account (1 ( clecans gatas

any telephone “umber you prove 9 us, whether @
Se ee eer sarveseely rabwurdes nrber cores
of moblweless device. You agree that you have an established business relationship wth
a of out contacts wth you a:e not unsolicited, and that we may contact you at tre ‘elephone
umber you provide m fis m any of the ways descroed with advertisements and
tales messages regar a proc nd sanes Pa we Oe rae fs
understan¢ that your consent to keting cortacts +s 70! a condition of purchasing ary property8 Of SOnMCES. Srp kre rey ey
innit This |

less we receve wren note tal you have moved to another 5, state pursvart to 20
Fe eee ncaa hoes oe
monthly perodic

sy atsandg tle, Oe ocho
‘balances on your. Tat anh anaas

cof your new address. Ary Annual Percentage Rate land comesy rate} appicable
toa balance outstanding pnor to notficasion of a change n biling uit
Benge othe ‘Other Ye natty
Address or Other Contact Information: You agree te notty us promot x: wnting of ary
changes fo your oiling address. shone nuriber. nal eddess encode svtod storaton Soh
aie wet tae "en ntgeo exclowes f “rave elected 's "ecewve notices
electroncally. we 0 senc biling statements anc other notces to Sie address we Nave on la for
coamedesumias ee
0 oc oral ty i yor Sate late
‘may Sell. vansfer, oF assign our rights oF obligations under this Agreemient without
eee
oer

Accor’,
Se re ae acct lo sn ot oot

Se ena ean Poe orally a contra Ye
or v8 Qe us to corde in ou
maybe tal bie wed ne Cac os ‘S You ret a tbl
unauthorized use that: ar ay. ney 8 ess. Beh. asPorzed 90 are, many case
NC See en a ne gm
tm on your an

Aiton Uso ae sitar Howe ras ages Tate
resonable fou

ii Dat Counted std nr ee yey rm
‘or rebate resulang ‘sor your purchase of Credit Insurance soverage on ths

ian ori Rede: rl Portage Rar en eo shy Oe
656 of the Florida Statutes.

Note to Martand Residents This Accourt is govemed by Suottle 9 “tle *2 of the Marvand

Note to to iichgan Residents: The seller retains a security Interest In the
subject matter of this er of this Agreement,

Rey eae s aumoraed be Opbonal Rate Ceiing
futemoleaende a Seats 03.008. Te contact Kay Jewelers anc Kay vewevers Outlet
abou tus Account, cll 1-806-877-3616. Ths contract sujed! 2 whole oF pat to os an wi
‘$ ertorced by the Consumer Credit Comrussoner. 2601 Nort Lamar Boulevard, Austin, TX
"Siw soceatis ant boca aie tay eases Oa
ONCE: 1 HOLDER OFT OONSUUER CREDIT CONTRACTS SUBJECT TO AL CLAUS AND DEFENSES WC THE
DEBTOR COULD ASSERT AGAINST THE SELLER OF GOODS OR SERVICES OBTAINED PURSUANT HERETO OR WI-H THE
PROCEEDS HEREOF RECOVERY HEREUNDER BY THE DEB"OR SHALL ROT EXCEED AMOUNTS PAID BY THE 2EB‘OR

HEREUNDER,
(ROTICE 70 THE BUYER: 1 DO NOT SIGH THE APPLICATION ANIVOR THIS CREDIT AGREEMENT BEFORE YOU READ OB F
AT CONTADNS ANY BLANK SPACES. 2, YOU ARE ENTITLED TO A COMPLETELY FLLED 2 COPY OF THS CREDIT AGREEMENT
‘4. YOU WAY AT ANY TIE PAY THE TOTAL BALANCE OUTSTANDING UNDER THIS AGREEMENT WITHOUT INCURRING
AY. CO 4 KEEP THIS AGREEMENT 10 PROTECT YOUR LEGAL RIGHTS. 5. YOU BAY UNDER CERTAIN
‘CIRCUMSTANCES REDEEM THE PROPERTY. F REPOSSESSED BECAUSE OF YOUR DEFAULT. AND YOU HAY. UNOER CERTAIR
CNS ANGEL TESRE OE MPetTAOUSESE ME SLES NO MTTO RAGED TE
"Wa RUS COT EA AE SES C1 RAS ER AE
FOR UASSACHUSETTS AND WASHINGTON RESIDENTS: 7 YOU WAY CANCEL A PURCHASE UNDER THIS
ARES Fa EN SNe) BY APN THERETO A APLAGE OES HATE HES FES
MUAY BE HIS WAIN OFFICE OR BRANCH THEREOF: PROVIDED, YOU NOTIFY THE SELLER CY WRITING AT HS WAN OFACE OR
BRANCH, BY ORDMARY BAL POSTED. BY TELEGRAM SEN OR BY DELVERY, NOT LATER THAN AODNUGHT OF “HE THAD
BUSHESS DIY FOLENG A PURCUSE CIDER DS REM ASTALMEY HED ASEAN
‘YOU ACKNOWLEDGE RECEIPT OF A COPY OF THIS RETA, DISTALLMENT CREDIT AGREENENT.

ba
Seer Cetr LAam——_|

Mano P. Weiss. Senior Vice President Credit Operations,
Sterling Jewelers Inc., d/b/a Kay Jewelers and
Kay Jewelers Outlet, P.O. Box 3680, Akron, OH 44309-3680

Your Billing Rights: Keep this Document for Future Use.
‘This notice tells you about your rights and our responsibilities under the Fair Credit Billing Act
‘What To Do If You Find A Mistake On Your Statement
you funk there 1s an error on your statement, write to us at
Storing

lr yourltr, gua us ho ‘oLowng wformadon
‘Account mformator: Your name and account number
Dollar amount The dolar amount of he suspected error
“Toosote ruts Boosts te anor on youd cesube wet yous
sswrong and why you delieve 21s 2 TistaKe,
‘You must contact us:
+ Wittin 60 days atter the emor appeared on your statement.
«Atleast 3 busmess days before ar aulomated payrnent s scheduled. # you: want to stop payment
of. the amount you thunk «s wong,
You must nobly us of any potental erors gwefing, You may call us, but & you do we are nol requsred to
nvestgate any potenta, er’ors ans you Nay have tc pay the amount question,
What Will Happen After We Recelve Your Letter
‘When we receive your ietter, we must do ‘wo ungs:
* Wetun 30 days of recatving your letter, we must tell you that we recemed your letier We wi also.
tel you * we nave already comected ie eror.
2. Wittir 90 days of recening your letter we must ether corzact the error or explain to you why.
‘wa believe she bil ss correct.
‘While we investigate whether or not there has been an error:
vlo cana cles oem austox pot yu as dlrqn na amo.
¢o charge in question “ay remam or your slatement, and we may continue to charge you
twterest on that amount,
‘+ Wale you de not have te pay the amount ir question, you are responsible for the retainder
of your Dalance,
+ We car apply any unpax amount against your credit Be,
After we finish our Investigation, one of two things will happen:
+ {Lye made a mistake; You will not have 'c pay the amount m question or any mterest or other
fees related to thal amount,
+ Hye do not believe ‘there was a mistake: You wil have to day the amount m question, along,
with applicable interest and fees. We will senc you a statamere of the amount you owe and the
‘date payment 1s due. We may then report you as delinquent ¢ you donot pay She amount we
Suk you ows
you recewve our explanation but stil believe your bil s wrong, you must wre lo us within 10 days teling
us fhat you stil refuse to pay If you dc so. we cannot repo" you as delinquent w:hout also “eporting that
you are quesboning you bd. We sus tell you Swe name of anyone to wrorr we reported you as definquent,
‘and we “ust lel bose orgasuzaSons «iow when the matter has been settled between us,
Htwe de not folow ell of he rules above. yo, do not have ‘9 pay fhe first $50.00 of the amount you queston

Tovar Gssaite w Dot feet ly. ve pest wt) yo Cer ed you
reese anna atte er athe refa oo ny hae boo pay Do
reranng amourt dus on the purchase.

To use thus right, all of the following must be bue:
1, The purchase shust have been made in your home state or within 10C rites of your cuvent
vmraling address, and she purchase price must have beer more than $50.00 (Note Nether of
‘these are necessary ¢ your purchase was base¢ on an adverbsement wa mailed ( you, ord
‘wo own oF operate tha company thal sol¢ you the goods or services.)
2 You must have used your credit card ‘or the purchase. Purchases made witt cash advances
{roman AM of wilh @ check thal accesses your credit sa'd account do no! quali
3 You Ttust rot yot have fully pais “9” the purchase.
‘Tab of to crtera above are met and you are stl dssatsed wih the purchase, contact us In wing at
‘tre address listed above.
‘While we snvestgata, the same tues apply to ‘ha disputed amount as discussed above, After de finsh our
inwesigation, we wi tel you of ow decision AS shat por we he you owe 2 amount and you do nt
ay. ve may repo you 8s delinquent

0300-13S-0000 (R. 10/14) 058+27Reward yourself with the
finer things in life.
The benefits are all yours. Bnd Severe ea}

© Instant credit
© No annual fee

® Allows your bank cards to be used for
emergencies or other uses

© Convenient shopping in our stores nationwide

© Establishes a credit history to assist in future
buying events

© Customer Appreciation mailings

© You may refurn your purchase within 60 days or
exchange if within 90 days of purchase. Watches
may be exchanged or returned within 30 days
provided they are in original condition (unwom
and unaltered) and accompanied by the original
packaging, instructions and warranty documents.
Custom designed merchandise, class rings,
special ordered watches and items engraved with
personalized information cannot be retumed or
exchanged.

© Diamonds backed by our Lifetime Diamond
Guarantee

© Extended Service Plan is avatlable to protect
your jewelry from future repair costs

© Payment Protection Plan is available fo let you
buy with peace of mind. This optional plan
protects your credif and your purchases. See the
Payment Protection brochure for details.

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Kay Jewelers and Kay Jewelers Outlet
Gold Exchange!
Exchange your gold for cash.
Quick ¢ Safe * Secure
Visit kay.com for details.

Ole 1mexel re)
KAY KAY PNeve)lrexeliiela

CEWELERS eEWELERS
‘Eeery wate Dagine wih Kan? OUTLET
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ensté 407PMDepartment of Defense Manpower Data Center Rents a8 ot Deo 08.2015 074143 AML

ScRARY

Status Report
Pursuant to Servicemembers Civil Relief Act

Last Name: DEFORGE

First Name:

Middle Name:

Active Duty Status As Of: Dec-08-2015

‘Upon searching the data banks of the Department of Defense b f@ information that you provided, the above is the status of
the individual on the active duty status date as to all branches of the Unifo (famy, Navy, Marine Corps, Alr Force, NOAA, Public Health, and
Coast Guard). This status includes information on a Servicomember or his/her unit racelving notification of future orders to report for Active Duty.

Mong Yh. tly Aon

Mary M Snavely-Dixon, Director

Department of Defense - Manpower Data Center
4800 Mark Center Drive, Sutte 04E 25

Axtington, VA 22350‘The Defense Manpower Data Center (DMDC) isan organization of the Department of Defense (DoD) that maintains the Dofonse Enrollment and Ebgtitty
Reporting System (DEERS) database which Is the official source of data on eligibillty for military medical care and other eligibility systems.

‘The DoD strongly supports the enforcement of the Servicemembers Civil Rellaf Act (50 USC App ¥ 501 et seq, as amended) (SCRA) (formerly known as the
Soldiers’ and Sailors’ Civil Relief Act of 1840) DMDC has issued hundreds of thousands of "does not possess any information indicating that the individual
1 currently on active duty” responses. and has experienced only a small error rate. In the event the individual referenced above. oF any family member,
frlend. or representative asserts in any manner thet the Individual was on active duty for the active duty status date, or is otherwise entfited to the protections
of the SCRA, you are strongly encouraged to obtain further verification of the person's status by contacting that person's Service via this URL"

hittosefkb defense gov/PublcQuertes/publicQuestions/FagsAnswars jsp?Subject=Locating Service Members or Getting @ Malling Addresss If you have
evidence the person was on active duty for the active duty status date and you fall to obtain this additional Service verification, punitive provisions of the
SCRA may be invoked against you See 80 USC App y 521(c).

‘This response reflects the following