Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-cand-3_05-cv-04944/USCOURTS-cand-3_05-cv-04944-12/pdf.json

Nature of Suit Code: 440
Nature of Suit: Other Civil Rights
Cause of Action: 15:1692 Fair Debt Collection Act

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United States District Court

For the Northern District of California

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IN THE UNITED STATES DISTRICT COURT

FOR THE NORTHERN DISTRICT OF CALIFORNIA

CHRISTOPHER CIVITELLO,

Plaintiff,

 v.

 FIRST CREDIT OF AMERICA, INC.,

Defendant. /

No. C 05-04944 WHA

SPECIAL VERDICT FORM

YOUR ANSWERS MUST BE UNANIMOUS.

CLAIMS

1. Has plaintiff proven by a preponderance of the evidence that defendant is liable

under Section 1692c(a)(1) of the Fair Debt Collection Practices Act?

Yes_________ No_________

2. Has plaintiff proven by a preponderance of the evidence that defendant is liable

under Section 1692e(8) of the Fair Debt Collection Practices Act? 

Yes_________ No_________

3. Has plaintiff proven by a preponderance of the evidence that defendant is liable

under Section 1692f(1) of the Fair Debt Collection Practices Act?

Yes_________ No_________

4. Has plaintiff proven by a preponderance of the evidence that defendant is liable

under Section 1692d of the Fair Debt Collection Practices Act?

Yes_________ No_________

Case 3:05-cv-04944-WHA Document 72 Filed 02/13/07 Page 1 of 2
United States District Court

For the Northern District of California

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If you answered “yes” to any of Questions 1 through 4, continue to the following

questions. If you answered “no” to all of the above questions, then you are finished and should

sign and return the form in the envelope. 

DAMAGES (ALL CLAIMS)

5. Has plaintiff proven by a preponderance of the evidence that he suffered injury,

damage, or harm as a direct result of any of the acts or omissions of defendant or its agents?

 Yes_________ No_________

6. If you answered “Yes” to Question 5, state the amount of damages proven by

plaintiff as a result of defendant’s acts or omissions. 

$___________

7. If you answered “yes” to any of Questions 1 through 4, you may award up to

$1,000 total to plaintiff for defendant’s violation of the federal Fair Debt Collection Practices

Act. 

$___________

8. If you awarded damages in Question 7, state whether any such violation of the

Fair Debt Collection Practices Act was knowing and willful. 

Yes_________ No_________

CONCLUSION

ONCE YOU HAVE FINISHED ANSWERING THE NECESSARY QUESTIONS UNANIMOUSLY,

PLEASE HAVE THE FOREPERSON SIGN AND DATE THIS FORM. THEN CONTACT THE DEPUTY OR

MARSHAL TO INFORM HIM OR HER THAT YOU HAVE COMPLETED YOUR DELIBERATIONS.

Dated: February ____, 2007 FOREPERSON

Case 3:05-cv-04944-WHA Document 72 Filed 02/13/07 Page 2 of 2