. .. • i 

Maricop~ County-Justice Courts, Arizona 

South Mountain Justice Court 620 W. Jackson St, #1 044, Phoenix, AZ 85003 

Zerita Kensey 

2231 Fast Nancy lane 1395 North Ha den 

Thoenix' p.:z 85042 Scottsdale, Az 85257 

( 623 ) 570 - 4927 ( 8f:fJ ) 768 - ffi)4 

P1aintiff(s) Name I Address I Phone Defandanl(s) Name I Address I Phone 

The Statutory Agent I Corporate Officer to be served is: Stanle E. Freinruth 

SMALL CLAIMS COMPLAINT I SUMMONS I ANSWER 

WARNING: THERE ARE NO APPEALS IN SMALL CLAIMS CASES: You do not have the right to appeal the decision of 

the Hearing Officer or the Justice of the Peace in Small claims (Division) Court. If you wish to preserve your right to 

appeal, you may have your case transferred to the Civil Division of the Justice Court pursuant to ARS 22-504, if you 

request such a transfer at least ten (10) judicial days prior to the day of the scheduled hearing. " "'" ,,,,,,, ,,,,,,,, . NOTICE AND SUMMONS ~,.,.•'' (\f THE '••,,, 

TO THE ABOVE-NAMED DEFENDANT(S): You are directed to answer this complaint within TWEN-yf <Dt:DAYS ~4Ji~9, a 

written ANSWER in the court named above. If you do not answer or defend, you run the risk of havi!ig~u~· ri~ ~gai st 

you fort e amount of plaintiffs claim lu c urt costs. A filing fee must be paid at the time your an&waa lS :rAlN •• ; · I • "') E. < -

Date: (/} Clerk:- _. ~ ~ ··.<~~ .:& j Reques~ for reasonable accommodations for persons with disabilities must be \ ~ • • ~ ••• • • ,f ./ 

made to the court at least 3 judicial days in advance of any scheduled hearing. .,, ~Op-4 ~' ,,•' ···············-······································-····························-············································-·-···························-·······························································!..(1,.. .. --.-·GQU_ ....... +\~ ........ -.......... . PLAINTIFF'S CLAIM ,,,,,,,,,,,"\'''''' 

This Justice Court has venue becauseO The defendant resides in this precinct,[il The debt, or cause of action, or incident that 

resulted in this claim, occurred in this precinct at the followinq location: 2231 Fast Nancy lN PHX,!\2 85042 $ 1,052.00 is thE 

total amount owed me by defendant because: On Novailbei- 19,20l5 Mendant (''REVg)LVE,INC") as Iebt Collector engaged 

in ·;; schare of unfali, unlawful and deceptive debt collection practices when it sent Plaintiff it 1 s initial letter 

in response to Plaintiff 1 s writter request for validation of debt that failed to include required language 

concerning verification of debt. ITAIM ONE: Iefendant violated 15 TI3CS §1692g(3)(4)aHd (S)by failing to include th 

required "Statutorily"validation language of the above provisions in it 1 s llicEmber 1,2015 collection cannunication 

(letter). See Exhibit# 1 Iefendant 1 s Letter.aJUM 00: Mendant violated 15 uses §1692e (2)(A) by falselyrepresen 

it 1 s legal status as a duly appointed third prrty Iebt Collector to plaintiff in said collection letter. aJUM'IHRE 

llifendant violated 15 uses §1692e( 5) by dEm3flding IIDney frcm the Plaintiff, and reporting Plaintiff IS alleged debt 

to cr edit agencies without an assignrrent of the debt fr alleged creditor (BANNER ESIRElLA MEDICAL CENTER) that 

ccmplied with the requirsrents in (Arizona Aclm:inistr e Code R20-1518. NJIE: Plaint iff was darraged and harned by 

Ieferidant 1s d~tive 0llection actions. 

Date: / ..- ") --f' ( (., Plaintiff: ------.~-~c,..<~';l<;q.,IL------------- ' sq~~IS~~ER--

A filing fee must be paid at the time your answer is filed. 

1 am answering on behalf of 0 Myself D Marital Community D Other::_. _______ I do not owe the plaintiff because: 

Case 2:16-cv-00209-BSB Document 1-3 Filed 01/27/16 Page 1 of 2
ZERITA B KENSEY 

2231 E NANCY LN 

PHOENIX AZ 85042-4635 

RE: ZERITA B KENSEY 

12/01/15 

Account #BAN150 0003180261 

BANNER ESTRELLA MEDICAL CENTER 

25630054 

Amount Due: $213.40 · 

Pursuant to your request, enclosed is the itemized statement which reflects the original charges 

but may not match the current balance. 

This communication is from a debt collector. This is an attempt to collect a debt and any 

information obtained will be used for that purpose. 

1395 N. Hayden , Scottsdale, Arizona 85252 

P.O. Box 310, Scottsdale, Arizona 85252-0310 

Phone 866-768-0804 Ext 335- 480-467-2355 Fax 480-947-2170 

Exhibit # 1 

Case 2:16-cv-00209-BSB Document 1-3 Filed 01/27/16 Page 2 of 2