On June 22, 2024 a
Statement of Claim Index #1
was filed
involving a dispute between
Midland Credit Management, Inc,
and
Pak, Daniel,
for Conciliation
in the District Court of Carver County.
Preview
10-CO-24-279
Filed in District Court
State of Minnesota
6/22/2024 4:18 AM
State of Minnesota Conciliation Court
County of: Carver Judicial District: First
Court File Number:
Case Type: Conciliation
PLAINTIFF’S STATEMENT OF CLAIM
Plaintiff #1 Plaintiff #2
Name: Midland Credit Management, Inc Name:
Address: c/o Messerli & Kramer PA Address:
3033 Campus Drive, Ste. 250
City/State/Zip: Plymouth, MN 55441 City/State/Zip:
Defendant #1 Defendant #2
Name: Daniel Pak Name:
Address: 1041 LAKE SUSAN DR Address:
City/State/Zip: Chanhassen, MN 55317-9337 City/State/Zip:
Check box if there are more than two 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: Daniel Pak
Individual (Person) Business
If Defendant #1 is an individual:
i. I believe Defendant #1 is at least 18 years old.
Date of Birth: N.A. / Unknown.
ii. About military service:
Defendant #1 is in the military service.
Defendant #1 is not in the military service.
Unknown.
b. Defendant #2
Name:
Individual (Person) Business
If Defendant #1 is an individual:
i. I believe Defendant #1 is at least 18 years old.
Plaintiff’s Statement of Claim
CCT102 State ENG Rev 10/20 www.mncourts.gov/form s
Page 1 of 3
MN_0150E File No: 24-130371
10-CO-24-279
Filed in District Court
State of Minnesota
6/22/2024 4:18 AM
Date of Birth: ________________ / Unknown.
ii. About military service:
Defendant #2 is in the military service.
Defendant #2 is not in the military service.
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(s) owe(s) Plaintiff $946.91, plus a filing fee of $80.00, plus an e-filing fee of
$5.00, for a total of $1,031.91 because:
Defendant(s) used the charge account number ending in XXXXXXXXXXXX2557. The last
payment on the account was December 21, 2021. The account was charged-off by the original
creditor on August 14, 2022 with a balance of $946.91. Plaintiff purchased the account on
September 23, 2022, and is a successor in interest to Credit Asset Sales LLC , which is a
successor in interest to FNBM, LLC, which is a successor in interest to MHC Receivable, LLC,
which is a successor in interest to Credit One Bank, N.A., for this account.
Defendant(s) is/are in default for failing to make payments on the charge account.
Property
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
Plaintiff’s Statement of Claim
CCT102 State ENG Rev 10/20 www.mncourts.gov/form s
Page 2 of 3
MN_0150E File No: 24-130371
10-CO-24-279
Filed in District Court
State of Minnesota
6/22/2024 4:18 AM
$ _______________. 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).
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.
MESSERLI & KRAMER PA
DATE:
eSigned on 6/14/2024 in Hennepin County, MN
3033 Campus Drive, Ste. 250
Plymouth, MN 55441
cc-litigation@messerlikramer.com
Ph#: (763) 548-7900
Fax#: (763) 548-7922
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.gov/form s
Page 3 of 3
MN_0150E File No: 24-130371
Document Filed Date
June 22, 2024
Case Filing Date
June 22, 2024
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