IN THE DISTRICT COURT OF CARTER COUNTY
STATE OF OKLAHOMA
JEFFERSON CAPITAL SYSTEMS LLC,
Plaintiff,
vs.
DANA BUTLER
Defendant(s).
Case No. CS-2026-113
PETITION
COMES NOW the Plaintiff, by and through counsel, Nelson and Kennard, LLP, and herewith alleges the following and seeks redress as hereafter delineated.
1. Plaintiff is a national debt collection agency, which transacts business within the State of Oklahoma.
2. Venue is proper in this County, as the Defendant(s) reside(s) in this County at the commencement of this action, or the contract which is the subject matter of this action was made, executed, and delivered in this County.
3. The last four (4) digits of the Defendant’s account number, used by the original creditor as of the date of default are XXXXXXXXXXXXXX3184.
4. Plaintiff's claim arises when the Defendant(s) opened a credit account and failed to make the required monthly payments as agreed. The credit account charged off for non-payment on 3/03/24, the balance due at time of default is as follows $742.09. A true and accurate copy of the last periodic statement provided to the Defendant(s) prior to charge-off is attached hereto as Exhibit 1. A true and accurate copy of the ownership of the credit card account is attached hereto as Exhibit 2.
5. The Defendant(s) breached the Contract by failing to make the required periodic payments.
6. As a direct and proximate result of the Defendant(s) default, the total amount of debt claimed is $742.09.
7. The date of the last payment made by the Defendant(s) is July 31, 2023.
8. Plaintiff seeks court costs, and for such further relief as the Court may deem proper in the premises.
WHEREFORE, Plaintiff, JEFFERSON CAPITAL SYSTEMS LLC prays for judgment against the Defendant(s), DANA BUTLER in the amount of $742.09, plus all costs herein expended, including but not limited to, court costs, sheriff’s fees, and special process server fees, attorney fees; and for such other and further relief as the Court may deem proper in the premises.
Dated this January 8, 2026
Nelson and Kennard, LLP
By: ____________________________________________
Ashton Dewayne Sears, OBA # 35737
12596 W. Bayaud Ave., Ste. 120
Lakewood, CO 80228
Phone: 866-920-2295
[email protected]
Attorney for the Plaintiff
EXHIBIT 1
Fortiva Credit Card
Summary of Account Activity
Account Number **** **** **** 3184
Statement Closing Date March 02, 2024
Number of days in billing cycle 29
Total Credit Line $752.00
Available Credit $0
Overlimit Amount $0.00
Past Due Amount $84.00
Previous Balance $742.09
Payments $0.00
Credits $0.00
Purchases $0.00
Balance Transfers $0.00
Cash Advances $0.00
Interest Charged $0.00
Fees Charged $0.00
New Balance $742.09
Payment Information
New Balance $742.09
Minimum Payment Due $96.00
Payment Due Date Mar 27, 2024
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:
<table>
<tr>
<th>If you make no additional charges using this card and each month you pay...</th>
<th>You will pay off the balance shown on this statement in about...</th>
<th>And you will end up paying an estimated total of...</th>
</tr>
<tr>
<td>Only the minimum payment</td>
<td>5 years</td>
<td>$742.00</td>
</tr>
</table>
If you would like information about credit counseling services, call 1-877-740-1191.
Cardholder Services:
Payment Processing P.O. BOX 650847 Dispute Resolution P.O. BOX 105374
DALLAS TX 75265-0847 ATLANTA GA 30348-5374
Correspondence P.O. BOX 105555
ATLANTA GA 30348-5555
Account Inquiry (877) 785-7908
TTY Service (855) 921-5700
www.myfortiva.com
Important News
Go Paperless - Fortiva now offers paperless communications! Enroll today to receive an electronic notification as soon as your monthly statement is ready to view online---no more waiting on the mail! Visit myfortiva.com or download the Fortiva Account Center mobile app to get started.
************************************************************
YOUR ACCOUNT IS SERIOUSLY PAST DUE $84.00.
2024 Year-to-Date Totals
Total Fees Charged in 2024 $0.00
Total Interest Charged in 2024 $0.00
Interest Charge Calculation
<table>
<tr>
<th>TYPE OF BALANCE</th>
<th>ANNUAL PERCENTAGE RATE (APR)</th>
<th>BALANCE SUBJECT TO INTEREST RATE</th>
<th>INTEREST CHARGE</th>
</tr>
<tr>
<td>Purchases</td>
<td>0.00%</td>
<td>$434.09</td>
<td>$0.00</td>
</tr>
<tr>
<td>Cash Advances</td>
<td>0.00%</td>
<td>$0.00</td>
<td>$0.00</td>
</tr>
</table>
PLEASE DETACH AND RETURN WITH YOUR PAYMENT
SEE REVERSE SIDE FOR IMPORTANT INFORMATION
Account Number: **** **** **** 3184
<table>
<tr>
<th>Minimum Payment Due</th>
<th>Payment Due Date</th>
<th>New Balance</th>
</tr>
<tr>
<td>$96.00</td>
<td>03/27/2024</td>
<td>$742.09</td>
</tr>
</table>
Amount Enclosed $___________ . _____
Make checks payable to Fortiva
Check here and complete reverse side for change of address ☐
Mail Payment To: PAYMENT PROCESSING
P.O. BOX 650847
DALLAS TX 75265-0847
Annual Percentage Rate (APR) and Monthly Periodic Rate. When your Account has an outstanding balance, we will calculate interest using a monthly periodic rate. The monthly periodic rate is determined by dividing the annual percentage rate (APR) by 12.
Balance Subject to Interest Rate. We figure the interest charge on your Account by applying the applicable monthly periodic rate to the "average daily balance" of your Account. We calculate the average daily balance separately for each type of balance (e.g., separately for Purchases, for Cash Advances and for each balance subject to special terms such as balances on the card features). If you have more than one balance (including purchase, cash advances and balance transfers) and any applicable fees, and subtract the applicable portion of any payments or credits. This gives us the daily balance for each type of balance. Then, we add up all the daily balances for a particular type of balance for the billing cycle and divide the total by the number of days in the billing cycle. This gives us the "average daily balance" for that type of balance.
How to Avoid Paying Interest. You can avoid interest on purchases that are not subject to a special promotion if you pay the entire non-promotion balance (in addition to any required minimum payment on promotional balances) by the due date each month. Your due date is at least 25 days after the close of each billing cycle. There is no time period in which to avoid interest on cash advances.
Deferred Interest Benefit. If you purchase under our Deferred Interest Plan promotion, we will calculate interest each cycle as described above. To avoid such interest you must pay the total purchase amount and accrued fees and charges that are subject to deferred interest ("Promotional Balance") in full by the last day of the promotional period as shown on the Deferred Interest Charge Calculation notice on the front of this statement. Making only minimum monthly payments during the promotional period will not pay off your Promotional Balance by the last day of the promotional period. If you do not pay your Promotional Balance in full by such date, then the interest that has accrued from the date of purchase through and including the last day of the promotional period (Deferred Interest Charge) will be added to your regular Purchase balance.
Special Promotions. We may from time to time offer special promotions when you use your Account for certain transactions. These special promotions will have some terms that are different from your regular terms. Please refer to any special promotion advertising (including in-store signs or other disclosures provided to you) for the specific terms of any special promotion offered. Except as specifically modified for a special promotion, all other terms of the credit agreement governing your Account will apply to such transaction
Annual Renewal. If the front of this statement contains a message that an Annual Fee will be billed in your next billing cycle, you can avoid paying this Annual Fee by paying your outstanding balance in full and sending written notification of termination within 30 days to: Account Services, P.O. Box 105555, Atlanta, Georgia 30348-5555. If you do not notify us within 30 days, the Annual Fee is nonrefundable to the extent not prohibited by law. This fee is owed whether or not you use your account, and you agree to pay it when billed.
Automatic Payments. If you have enrolled in our standard Automatic Payment Plan (APP), you authorize us to initiate electronic funds transfers (EFTs) by debit entry drawn on the bank account, debit card or credit card that you identify to us from time to time (Bank Account), in the amount of (i) your required Minimum Payment (excluding any overlimit amount) or (ii) your Statement Balance, as designated by you from time to time, when due. If you have a Deferred Interest Plan and you enroll in our APP, you will need to make one or more additional payments by mail or by phone to avoid interest. Because the minimum payment calculation does not include any overlimit amount, you will need to make an additional payment for any amount that your Account is overlimit. You can make additional payments at any time without penalty. To change the payment amount or payment method or to terminate your enrollment in an automatic payment plan at any time, contact Customer Service at the number listed on the front of this statement. You must give notice of termination in such a manner and sufficiently in advance to give us and your depository institution a reasonable opportunity to act. See your cardholder agreement (or additional terms), conditions and rights.
Alternative Payment Methods. If you know that we will be unable to process a scheduled automatic payment for any reason, then to avoid a late payment charge, you must promptly send a certified check or money order to the "Payment Address" shown on the front of this statement, or, if offered, you may take advantage of any pay by phone or online payment service that we may make available to you from time to time. If you make an alternative payment by postal mail or by pay by phone or online service while you are enrolled in an automatic payment plan, we may treat such payment as an "additional" payment and continue to process your next automatic payment plan payment as scheduled or, at our option, we may reduce your next automatic payment by the amount of any such additional payment received, if possible.
Making Physical Payments. If you pay by paper check or other written instrument, all payments, except disputed amounts, must be mailed or delivered to us at the address for payments shown on this statement. Payments received at the address on the payment coupon by 5:00 p.m. Central Time, Monday through Friday (except legal holidays), will be credited to your Account as of the date received. Payments must be received at our post office box address and stamped return envelope. If payments are received at any other location or within a payment coupon, crediting of these payments to your Account may be delayed.
Notice About Electronic Check Conversion. When you provide a paper check as payment, you authorize us to use information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction. When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we receive your payment, and you will not receive your check back from your financial institution.
Prepayment. You may pay your total indebtedness or any part thereof at any time without incurring any prepayment charge.
Late Payment Fee. If you do not make your Minimum Payment on or before the Payment Due Date shown on this statement, we may apply a Late Payment Fee.
Postdated Checks, Restrictive Endorsement Checks and Other Disputed or Qualified Payments. You agree not to send us payments that are marked in full “without recourse” or similar language. If you send such a payment, we may accept it without losing any of our rights under this Agreement. All notices and written communications concerning postdated checks, restrictive endorsement checks (including any check or other payment instrument that indicates that the payment constitutes “payment in full” of the amount owed or that is tendered with other conditions or limitations or as full satisfaction of a disputed amount) or any other disputed, nonconforming or qualified payments, must be mailed or delivered to Dispute Resolution, P.O. Box 105374, Atlanta, GA 30348-5374.
We may accept late, postdated or partial payments without losing any of our rights under the credit agreement governing your Account. (A postdated check is a check dated later than the day it was actually presented for payment.) We are under no obligation to hold a postdated check and we reserve the right to process every item presented as if dated the same date received by us or our check processor unless you give us adequate notice and a reasonable opportunity to act on it. Except where such notice and opportunity is given, you may not hold us liable for depositing any postdated check.
Negative Credit Reporting. We may report information about your account to credit bureaus. Late payments, missed payments, or other defaults in your account may be reflected in your credit report.
What To Do If You Think You Find A Mistake On Your Statement. If you think there is an error on your statement, write to us at:
Account Services Dispute Resolution
P.O. Box 105374
Atlanta, GA 30348-5374
In your letter, give us the following information:
• Account information. Your name and account number.
• Dollar amount. The dollar amount of the suspected error.
• Description of problem. If you think there is an error on your bill, describe what you believe is wrong and why you believe it is a mistake.
You must contact us within 60 days after the error appeared on your statement and at least 3 business days before an automated payment is scheduled, if you want to stop payment on the amount you think is wrong. You may notify us of potential errors in writing. You may call us, but if you do we are not required to investigate any potential errors and you may have to pay the amount in question. While we investigate whether or not there has been an error, the following are true:
• We cannot try to collect the amount in question or report you as delinquent on that amount.
• The charge in question may remain on your statement, and we may continue to charge you interest on that amount. But, if we determine that we made a mistake, you will not have to pay the amount in question or any interest or other fees related to that amount.
• While you do not have to pay the amount in question, you are responsible for the remainder of your balance.
• We will apply any unpaid amount against your credit limit.
Your Rights If You Are Dissatisfied With Your Credit Card Purchases.
If you are dissatisfied with the goods or services that you have purchased with your credit card, and you have tried in good faith to correct the problem with the merchant, you may have the right not to pay the remaining amount due on the purchase.
To use this right, all of the following must be true:
1. The purchase must have been made in your home state or within 100 miles of your current mailing address, and the purchase price must have been more than $50. (Notes: Neither of these is necessary if your purchase was based on an advertisement we mailed to you, or if we own the company that sold you the goods or services.)
2. You must have used your credit card for the purchase. Purchases made with cash advances from an ATM or with a check that accesses your credit card account do not qualify.
3. You must not yet have fully paid for the purchase.
If all of these criteria above are met and you are still dissatisfied with the purchase, contact us in writing at:
Account Services Dispute Resolution
P.O. Box 105374
Atlanta, GA 30348-5374
While we investigate, the same rules apply to the disputed amount as discussed above. After we finish our investigation, we will tell you our decision. At that point, if we think you owe an amount and you do not pay we may report you as delinquent.
Credit Balances. Any credit balance on your account (indicated by a “CR” on the front of this statement) is money we owe you. You can make charges against this amount, or request a full refund of this amount by writing to us at Account Services, P.O. Box 105555, Atlanta, Georgia 30348-5555. Any amount not charged against or refunded upon request that is over $1 (equal to or in excess of $1 if you live in MA or any other billing cycle) in NY will be refunded automatically within six months after the credit balance was created (within four billing cycles). In MD. refunds will be delivered to your card.
Monitoring and Recording. To ensure that you receive quality service, you agree that we may record all phone calls. These calls, between you and our representatives, are evaluated by supervisors. It is our goal to provide prompt, consistent assistance and deliver accurate information in a professional manner.
Communicating With You; Consent to Contact By Electronic And Other Means. We may contact you for any lawful reason, including for the collection of amounts owed to us and for the offering of products or services in compliance with our Privacy Notice in effect from time to time. No such contact will be deemed unsolicited. To the greatest extent not prohibited by applicable law, we may (i) contact you at any address or telephone number (including wireless cellular telephone, VoIP or ported landline telephone number) that you may provide to us from time to time; (ii) use any means of communication including, but not limited to, postal mail, electronic mail, telephone or other technology, to reach you; (iii) use automatic dialing and announcing devices which may play recorded messages; and (iv) send text messages to your telephone. You may contact us in writing to stop receiving these communications. Full details are contained in our Privacy Notice.
Debt Collection. If there is a message on the front side that your Account is delinquent or past due, then this is an attempt to collect a debt and any information obtained will be used for that purpose.
Illinois Residents. Upon request, we will provide you with a summary of the total amount charged to your Account over the year within 30 days after the year’s end or termination of your Account.
This account is issued by The Bank of Missouri, Perryville, MO.
EXHIBIT 2
EXHIBIT II
BILL OF SALE
For value received and in further consideration of the mutual covenants and conditions set forth in the Forward Flow Account Purchase Agreement (the "Agreement") dated September 30, 2022 by and between The Bank of Missouri ("Seller") and Jefferson Capital Systems, LLC ("Buyer"), Seller hereby transfers, sells, conveys, grants, and delivers to Buyer, its successors and assigns, without recourse except as set forth in the Agreement the Accounts as set forth in the Account Schedule attached hereto as Exhibit I delivered by Seller to Buyer on each Closing Date, and as further described in the Agreement.
Lot Number: 24-436
Aggregate Unpaid Balance:
Number of Accounts:
DATED: April 22, 2024
SELLER: The Bank of Missouri
By: [Signature]
Name (print): Mark Barker
Title: Chief Contract Services Officer
Name | Social Security Number | Account Number | Seller Account Number | Open Date
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<table>
<tr>
<th>Charge Off Date</th>
<th>Charge Off Amount</th>
<th>Purchased Balance</th>
<th>Last Payment Date</th>
<th>Last Payment Amount</th>
</tr>
<tr>
<td>[Redacted]</td>
<td>[Redacted]</td>
<td>[Redacted]</td>
<td>[Redacted]</td>
<td>[Redacted]</td>
</tr>
<tr>
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</tr>
<tr>
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</tr>
<tr>
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</tr>
<tr>
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</tr>
<tr>
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</tr>
<tr>
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</tr>
<tr>
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<td>[Redacted]</td>
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</tr>
<tr>
<td>[Redacted]</td>
<td>[Redacted]</td>
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<td>[Redacted]</td>
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</tr>
<tr>
<td>[Redacted]</td>
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<td>[Redacted]</td>
</tr>
<tr>
<td>[Redacted]</td>
<td>[Redacted]</td>
<td>[Redacted]</td>
<td>[Redacted]</td>
<td>$25.00</td>
</tr>
<tr>
<td>[Redacted]</td>
<td>[Redacted]</td>
<td>[Redacted]</td>
<td>7/31/2023</td>
<td>$742.09</td>
</tr>
<tr>
<td>[Redacted]</td>
<td>[Redacted]</td>
<td>[Redacted]</td>
<td></td>
<td></td>
</tr>
<tr>
<td>[Redacted]</td>
<td>[Redacted]</td>
<td>[Redacted]</td>
<td></td>
<td></td>
</tr>
<tr>
<td>[Redacted]</td>
<td>[Redacted]</td>
<td>[Redacted]</td>
<td></td>
<td></td>
</tr>
<tr>
<td>[Redacted]</td>
<td>[Redacted]</td>
<td>[Redacted]</td>
<td></td>
<td></td>
</tr>
<tr>
<td>[Redacted]</td>
<td>[Redacted]</td>
<td>[Redacted]</td>
<td></td>
<td></td>
</tr>
</table>
LEGEND: [Redacted] indicates that all data for these records is redacted to protect other Consumers who were included in the same sale file but not part of the current action. Social Security Number, Account Number, and Seller Account Number information is masked to present only the last four characters in order to protect Consumer information.
<table>
<tr>
<th>Co Borrower Name</th>
<th>Original Creditor</th>
</tr>
<tr>
<td>[Redacted]</td>
<td>[Redacted]</td>
</tr>
<tr>
<td>[Redacted]</td>
<td>[Redacted]</td>
</tr>
<tr>
<td>[Redacted]</td>
<td>[Redacted]</td>
</tr>
<tr>
<td>[Redacted]</td>
<td>[Redacted]</td>
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<tr>
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</tr>
<tr>
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</tr>
<tr>
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<td>[Redacted]</td>
</tr>
<tr>
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</tr>
<tr>
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</tr>
<tr>
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<tr>
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<tr>
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<tr>
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<tr>
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</tr>
<tr>
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</tr>
<tr>
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</tr>
<tr>
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</tr>
<tr>
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</tr>
<tr>
<td>[Redacted]</td>
<td>[Redacted]</td>
</tr>
<tr>
<td>[Redacted]</td>
<td>[Redacted]</td>
</tr>
<tr>
<td>[Redacted]</td>
<td>[Redacted]</td>
</tr>
<tr>
<td>[Redacted]</td>
<td>THE BANK OF MISSOURI</td>
</tr>
<tr>
<td>[Redacted]</td>
<td>[Redacted]</td>
</tr>
<tr>
<td>[Redacted]</td>
<td>[Redacted]</td>
</tr>
<tr>
<td>[Redacted]</td>
<td>[Redacted]</td>
</tr>
<tr>
<td>[Redacted]</td>
<td>[Redacted]</td>
</tr>
<tr>
<td>[Redacted]</td>
<td>[Redacted]</td>
</tr>
<tr>
<td>[Redacted]</td>
<td>[Redacted]</td>
</tr>
<tr>
<td>[Redacted]</td>
<td>[Redacted]</td>
</tr>
<tr>
<td>[Redacted]</td>
<td>[Redacted]</td>
</tr>
</table>
LEGEND: [Redacted] indicates that all data for these records is redacted to protect other Consumers who were included in the same sale file but not part of the current action. Social Security Number, Account Number, and Seller Account Number information is masked to present only the last four characters in order to protect Consumer information.