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FILED: CORTLAND COUNTY CLERK 05/12/2021 11:49 AM INDEX NO. EF21-130
SUPREME
NYSCEF COURT
DOC. NO. OF
5 THE STATE OF NEW YORK RECEIVED NYSCEF: PAGE 1 OF 2
05/12/2021
COUNTY OF CORTLAND
JEFFERSON CAPITAL SYSTEMS, LLC Index No.: 130/21
Plaintiff,
-against SETTLEMENT STIPULATION
TIFFANY STEVENS
Defendant F&G File No.: DLVS1109259
Original Account number ending in: 2873
Original Creditor: WEBBANK
IT IS HEREBY STIPULATED AND AGREED, by and between plaintiff's attorneys and defendant(s)
and/or defendant's attorney that:
1. Defendant consents to the jurisdiction of this Court; acknowledges receipt of the
summons and complaint and/or waives all offsets and/or defenses, and discontinues
all counterclaims with prejudice.
2. Pursuant toCPLR 8020(d), in addition to the settlement amount, the Defendant
will send a
separate check or money order in the amount of $35.00, payable to
Forster & Garbus, as attorneys, which will be used to file this stipulation.
The separate $35.00 stipulation filing fee payment must be received on or before
the first paymêñt due date and the filing fee payment should not be combined
with the settlement payment.
3. Defendant shall-pay $2,615.78, without any interest as full settlement of this
action. The settlement shall be paid as
follows: $100.00 to be paid on or
before the 29th day of April, 2021. Followed by consecutive minimum monthly payments
of $100.00 due on or by the 29th day of every month commencing on the
29th day of May, 2021.
4. Payments can be made by visiting our website www.payfgny.com use Control# 7164147.
You can also call our office to make payment via ACH check or debit card payment over
the phone, or by sending a check or money order payable to Forster and Garbus, LLP and
mailed to P.O. Box 9030 Commack NY 11725-9030. All payments shall reference the
F&G File No. provided above.
5. Should any payment not be received by the due date, or should any check sent in
payment be returned by the bank for any reason whatsoever, and the payment not be
received within 10 days after written notification to defendant and/or defendant's
attorney, plaintiff shall have the right to enter judgment, for the suit amount,
less any payments received, together with costs and disbursements.
6. Upon full payment of the settlement sum, a stipulation of discontinuance shall
be filed with the Court and sent to defendant.
Pursuant to CPLR 8020(d), it is the Defendant's obligation to file the stipulation of
of discontinuance and pay the filing fee of $35.00.
7. Defendañt that he/she shall plaintiff's attarneys of eadh-change· of
agrees notify
his/her address.
8. Facsimile signatures shall be deemed original for purposes of this settlement
stipulation only.
2021 95628 U20m
05/12/2021 11:49:41 AM
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STIPULATION - SETTLEMENT (PRE RJl)
Elizabeth Larkin, County Clerk
I I II1111 Ill
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FILED: CORTLAND COUNTY CLERK 05/12/2021 11:49 AM INDEX NO. EF21-130
NYSCEF DOC. NO. 5 RECEIVED NYSCEF: Page
05/12/2021
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9. Defandant, his/her heirs, successors, legal representatives and assigns hereby release,
acquit and forever discharge Plaintiff and all of its affiliates, parents and/or
subsidiaries, representative managing partners, officers, directors, shareholders,
employees, agents, assigns, successors, attorneys, and all others associated hereto,
from any and all claims, liabilities, demands, suits, and causes of action, whether
vested or contingent, accrued or unaccrued, whether or not such claims were or could
have been raised herein, or as a result of any activities related to the debt and/or
Plaintiff's account.
Dated: Ap il 19,2021
Defenda t's Signature
TIFFANY /STEVENS
2394 E ILL RD
HOMER, NY 130779452
Telephone No:
Employer Name:
Employer Tel No:
Employer Addr:
FORSTER & GARBU P
By:
Ronald Fors (fr, Mark . bus,
Joel D. Leiderman, ward J. Damsky,
M'
Tess E. Gunther, ael J. Florio
Annette T. Altman, y Gavlik
Michael,C. Digiaro
60 Motor Parkway, Commack, NY 11725
631-393-9400
Account Rep: MS KIRTON
PLEASE NOTE THAT WE ARE REQUIRED, UNDER FEDERAL LAW, TO ADVISE YOU THAT WE ARE DEBT
COLLECTORS AND ANY INFORMATION WE OBTAIN WILL BE USED IN ATTEMPTING TO COLLECT THIS DEBT,
Forster & Garbus LLP NYC Dept. of Consumer Affairs #2045675
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