On January 16, 2021 a
Party Statement
was filed
involving a dispute between
Range Credit Bureau, Inc.,
and
Angell, Crystal Marie,
for Conciliation
in the District Court of Carlton County.
Preview
09-CO-21-11
Filed in District Court
State of Minnesota
1/16/2021 3:12 PM
State of Minnesota Conciliation Court
County of: Judicial District: Sixth
Carlton Court File Number:
Case Type: Conciliation
PLAINTIFF'S STATEMENT OF CLAIM
Plaintiff #1 Plaintiff #2
Name: RANGE CREDIT BUREAU INC Name:
Address: PO BOX 706 Address :
City/State/Zip HIBBING MN 55746 City/State/Zip:
Defendant #1 Defendant #2
Name: CRYSTAL ANGELL Name:
Address: 1785 JARVI RD Address:
City/State/Zip: CLOQUET MN 55720 City/State/Zip
|:| Check box if there are more than tvvo plaintiffs or more than two defendants. List the
information for the other parties on the Additional Litigants Form, CCT702.
Information about the Defendant
1. How many defendants are there? 1
a. Defendant # 1
Name: CRYSTAL ANGELL
IX] Individual (Person) I:
Business -
IfDefendant #1 is an individual:
i. Ibelieve Defendant #1 is at least 18 years old.
Date of birth: 03/12/1981 ,I DUnknown.
ii. About military service:
l:| Defendant #1 is in the military service
[:1 Defendant #1. is not in the military service
IX Unknown.
b. Defendant #_ 2
Name:
'
IX Individual (Person) EIBusiness
IfDefendant # 2 is an individual:
i. I believeDefendant #2 is at least 18 years old.
Plaintiff‘s Statement of Claim
CCT102 State ENG Rev 10/20 www.mncourts.govlforrns Page 1 of3
09-CO-21-11
Filed in District Court
State of Minnesota
1/16/2021 3:12 PM
Date of birth: . / DUnknown.
ii. About military service:
D Defendant # 2 is in the military service
D Defendant # 2 is not in the military service
E Unknown.
If there are more than 2 defendants, use the Additional Litigants Form (CCT702).
Information about the Claim
_
2. I am filing this claim against Defendant for: (check all that apply)
Money
.The Defendant owes me $ 911.62 , plus filing fees and costs in the amount of
$ 80.00 my total claim isfor -$
, so 991.62 (amount Defendant owes
plus filing fees and costs). I have a claim for this amount because in
I
. 07/22/2020 (month and year), the following happened (briefly describe):
SEE ATTACHED
**IN REGARDS TO INTEREST SEE MN STATUTE 334.01
**IN REGARDS TO NSF & CIVIL PENALTIES SEE MN STATUTE 604.1 13
**IN REGARDS TO HUSBAND AND WIFE LIABILITY SEE MN STATUTE 519.05
Property
D The Defendant has the following property that belongs to me (list property):
My property is valued at $ _
. The filing fees and costs for this case are
$ . I want the court to order this property returned to me or make the
'
Defendant pay me $ (property's value plus the filing fees and costs).
Plaintiff's Statement of Claim
'
CCT102 State ENG Rev 10/20 www.mncouns.govlforms. Page 2 of 3
09-CO-21-11
Filed in District Court
State of Minnesota
1/16/2021 3:12 PM
3. I understand that if I do not come to court on my hearing date, my case may be dismissed and
I may have to pay money to the Defendant on any counterclaim that has been filed.
Important! Each plaintiff must sign the Statement of Claim form and include the date signed,
the name of the state and county where signed, and provide the following information: title, if
any, telephone number, date of birth, and e-mail address.
I declare under penalty of perjury that everything that I have stated in this document is true and
correct. Minn- Stat. § 358.116. '
g;
5%.... I
"
Slgnature (Plaintiff #1) Signature (Plaintiff #2)
0R DThere is only 1 plaintiff
DATE: 01/13/2021 DATE:
ST LOUIS _
County and Statc Where Signed County and State where signer
S.H. CAUCCI
,Name Name
PRESIDENT
Title, if any Title, if any
21 8-263-8886
Telephone Telephone
Date of birth _
Date of birth
admin@rcb.collections.com _
Email Address Email Address
NOTE: If there are more than 2 plaintiffs, all of the other plaintiffs must sign the Statement of
Claim form and include the information listed above.
'
Plaintiff's Statement of Claim ‘
_
CCT102 State ENG Rev 10/20 www.mncourts.govlfcrms Page 3 of 3
09-CO-21-11
Filed in District Court
State of Minnesota
1/16/2021 3:12 PM
STATEMENT OF CLAIMS ATTACHMENT
COUNTY: CARLTON COUNTY
DEBTOR: Crystal Marie Angell 03/12ND LOC:
DEBTOR #2:
ADDRESS: 1785 Jarvi Rd
CLOQUET MN 55720—9734
NOTICE WAS MAILED TO THE DEFENDANT ADVISING OF COLLECTION ACCOUNTS AND/OR
DISHONORED CHECKS, SERVICE CHARGES AND PENALTIES. DEMAND IS HEREBY
MADE AS FOLLOWS:
LIST OF ACCOUNTS
CLIENT PRINCIPAL NSF FEE CIVIL PNL INTEREST COURT TOTAL DUE
TOMHAVE DENTAL AS $886;13
‘
$0.00 $0.00 $25.49- $80.00 $991.62
THIS IS AN ATTEMPT TO COLLECT A DEBT. -
ANY INFORMATION OBTAINED WILL BE USED FOR THAT PURPOSE.
Document Filed Date
January 16, 2021
Case Filing Date
January 16, 2021
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09-CO-21-11 Filed in District Court State of Minnesota 1/16/2021 3:12 PM State of Minnesota Conciliation Court County of: Judicial District: Sixth Carlton Court File Number: Case Type: Conciliation PLAINTIFF'S STATEMENT OF CLAIM Plaintiff #1 Plaintiff #2 Name: RANGE CREDIT BUREAU INC Name: Address: PO BOX 706 Address : City/State/Zip HIBBING MN 55746 City/State/Zip: Defendant #1 Defendant #2 Name: CRYSTAL ANGELL Name: Address: 1785 JARVI RD Address: City/State/Zip: CLOQUET MN 55720 City/State/Zip |:| Check box if there are more than tvvo plaintiffs or more than two defendants. List the information for the other parties on the Additional Litigants Form, CCT702. Information about the Defendant 1. How many defendants are there? 1 a. Defendant # 1 Name: CRYSTAL ANGELL IX] Individual (Person) I: Business - IfDefendant #1 is an individual: i. Ibelieve Defendant #1 is at least 18 years old. Date of birth: 03/12/1981 ,I DUnknown. ii. About military service: l:| Defendant #1 is in the military service [:1 Defendant #1. is not in the military service IX Unknown. b. Defendant #_ 2 Name: ' IX Individual (Person) EIBusiness IfDefendant # 2 is an individual: i. I believeDefendant #2 is at least 18 years old. Plaintiff‘s Statement of Claim CCT102 State ENG Rev 10/20 www.mncourts.govlforrns Page 1 of3 09-CO-21-11 Filed in District Court State of Minnesota 1/16/2021 3:12 PM Date of birth: . / DUnknown. ii. About military service: D Defendant # 2 is in the military service D Defendant # 2 is not in the military service E Unknown. If there are more than 2 defendants, use the Additional Litigants Form (CCT702). Information about the Claim _ 2. I am filing this claim against Defendant for: (check all that apply) Money .The Defendant owes me $ 911.62 , plus filing fees and costs in the amount of $ 80.00 my total claim isfor -$ , so 991.62 (amount Defendant owes plus filing fees and costs). I have a claim for this amount because in I . 07/22/2020 (month and year), the following happened (briefly describe): SEE ATTACHED **IN REGARDS TO INTEREST SEE MN STATUTE 334.01 **IN REGARDS TO NSF & CIVIL PENALTIES SEE MN STATUTE 604.1 13 **IN REGARDS TO HUSBAND AND WIFE LIABILITY SEE MN STATUTE 519.05 Property D The Defendant has the following property that belongs to me (list property): My property is valued at $ _ . The filing fees and costs for this case are $ . I want the court to order this property returned to me or make the ' Defendant pay me $ (property's value plus the filing fees and costs). Plaintiff's Statement of Claim ' CCT102 State ENG Rev 10/20 www.mncouns.govlforms. Page 2 of 3 09-CO-21-11 Filed in District Court State of Minnesota 1/16/2021 3:12 PM 3. I understand that if I do not come to court on my hearing date, my case may be dismissed and I may have to pay money to the Defendant on any counterclaim that has been filed. Important! Each plaintiff must sign the Statement of Claim form and include the date signed, the name of the state and county where signed, and provide the following information: title, if any, telephone number, date of birth, and e-mail address. I declare under penalty of perjury that everything that I have stated in this document is true and correct. Minn- Stat. § 358.116. ' g; 5%.... I " Slgnature (Plaintiff #1) Signature (Plaintiff #2) 0R DThere is only 1 plaintiff DATE: 01/13/2021 DATE: ST LOUIS _ County and Statc Where Signed County and State where signer S.H. CAUCCI ,Name Name PRESIDENT Title, if any Title, if any 21 8-263-8886 Telephone Telephone Date of birth _ Date of birth admin@rcb.collections.com _ Email Address Email Address NOTE: If there are more than 2 plaintiffs, all of the other plaintiffs must sign the Statement of Claim form and include the information listed above. ' Plaintiff's Statement of Claim ‘ _ CCT102 State ENG Rev 10/20 www.mncourts.govlfcrms Page 3 of 3 09-CO-21-11 Filed in District Court State of Minnesota 1/16/2021 3:12 PM STATEMENT OF CLAIMS ATTACHMENT COUNTY: CARLTON COUNTY DEBTOR: Crystal Marie Angell 03/12ND LOC: DEBTOR #2: ADDRESS: 1785 Jarvi Rd CLOQUET MN 55720—9734 NOTICE WAS MAILED TO THE DEFENDANT ADVISING OF COLLECTION ACCOUNTS AND/OR DISHONORED CHECKS, SERVICE CHARGES AND PENALTIES. DEMAND IS HEREBY MADE AS FOLLOWS: LIST OF ACCOUNTS CLIENT PRINCIPAL NSF FEE CIVIL PNL INTEREST COURT TOTAL DUE TOMHAVE DENTAL AS $886;13 ‘ $0.00 $0.00 $25.49- $80.00 $991.62 THIS IS AN ATTEMPT TO COLLECT A DEBT. - ANY INFORMATION OBTAINED WILL BE USED FOR THAT PURPOSE.