SCSC015516 - Judgment against Sac City man in the amount $649.50.pdf

8/10/2019 SCSC015516 - Judgment against Sac City man in the amount $649.50.pdf

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2/10

IN THE IOWA DISTRICT COURT FOR SAC COUNTY

SMALL CLAIMS DIVISION

L. F. NOLL INC.

705 DOUGLAS STREET SUITE 344

SIOUX CITY

IA

51101

PLAINTIFF

VS

CORY

J.

T IEFENTHALER

14 INGERSOLST

SAC CITY IA 50583

DEFENDANT(S)

ORIGINAL NOTICE

AND

PETITION

FOR A MONEYJUDGMENT

NO.

To

Defendant(s):

1.

You arenotified

that

the

above-named Plaintiff demands

of you the

amount

of 665.43.

This

claim is

based

on the

value

of

goods and/or services supplied

by the

following persons

or

businesses

in the

amounts

indicated below. Said claims are assign ed to Plaintiff.

CREDITOR

LORING HOSPITAL

PRINCIPAL

649.50

PRE-FILING INTEREST

15.93

2

Judgment

may be

entered against

yo u

unless

yo u

file

an

Appearance

and

Answe r within

20

days

of th

serviceo f the Original Notice upon you. Judgment mayinclude the amount requested plus interest an dcour

costs.

3.

You

must electronically file

the

Appearance

an d

Answ er using

the

Iowa Judicial

BranchElectronic

Docum ent Manag ement System (EDMS) at https://www .iowacourts.state.ia.us/EFile, unless you ob tain from

the

court

an

exem ption from

electronic

filing requirements.

4. If your Appe arance and Answer is f iled within20 days and you deny the claim, you will receive

electronic notif ication through EDM S

of the

place

an d

time

of the

hearing

on

this matter.

5 If you electronically file, EDM S will serve a copy of the App earan ce and Answ er on Plaintiff(s) or on the

attorney(s) for

Plaintiff(s).

The

Notice

of

Electronic Filing will indicate

if Plaintiff(s) is

(are) exemp t from

electronic filing, and if you must mail a copy of your Appearance and Answer to Plaintiff(s).

6. You must also notify the clerk'sofficeof any address change.

E-FILED 2014 OCT 14 4:52 PM SAC - CLERK OF DISTRICT COURT


3/10

CVA

4;SSICA

R.NOLL AT0008873

705

DouglasSt.,

Ste 502

Sioux

City

I

51101

Phone 712) 224-2675

Fax 712) 252-4497

[email protected]

ATTORNEY FOR PLAINTIFF

296544

OCTOBER 6,

2014



4/10

IN THE IOWA DISTRICT COURT FOR SAC COUNTY

SMALLC LAIMS DIVISION

L

F.

NOLL

INC

PLAINTIFF

CORY

J

TIEFENTHALER

DEFENDANT(S)

VERIFICATION OF ACCOUNT

IDENTIFICATION OFJUDGMENT

DEBTOR

AND

CERTIFICATE

RE

MILITARY SERVICE

NO

Fo r

Defendant: CORY

J

TIEFENTHALER

1.

I, T. L. Noll, Vice President of L. F. Noll, Inc., am apartyorem ployeeofP laintiff who se claim(s) is (are)

shown in the attache d statement(s). I have personal knowledge that the attache dstatement s) is (are) a tru

copyof the original creditor's records show ing the ba lance due is true and correct. I further state that the su

of

665.43 is the balance due and

owing

as of OCTOBER 6, 2014 from Defendant(s) to

Plaintiff(s)

and any

interest am ount owing is accura tely stated in the P etition and Original Notice.

2.

I further state thatDefendant,CORY J. TIEFENTH ALER. resides at 1 400 INGERSOL ST SAC CITY IA

50583. is employed at

TOYNE.INC

104 GRANITE AVE BREDA IA 51436. and Defendant's occupation is

3. Check A, B, or C for Defendant:

A.

X Defendant is not in the m ilitary service of the United States governm ent, I have verified this f

by

check

one):

X Checking the Defense Ma npowe r Data Center (DMD C) (requires name and SSN or name

and date of birth) https://www.dmdc.osd.mil/appi/scra/scraHome.do.

3 Contacting Defendant who informe d me, or

n

Regularly seeing Defend ant an d believing Defendant is notactivein the U.S. military.

OR

B. O I

have investigated,

and I am

unable

to

determine whether

or not

Defendant

is in the

military

service of the United States government.

OR C. O

Defendant

isin the

military service

of the

United

States government.

4. Ialso stateto the bestof my knowledge (check one):

Defendant

O is X is

notunder

a

disab ility

or

confined

in any

reformatory,jail,

or

penitentiary.

I certify under penalty of perjury and pursuant to the laws of the State of Iowa that these facts are true an d

correct.

L.F. NOLL, INC.

T.

L

N0LL,VICEPRESIDENT

705 Douglas St., Suite 344

Sioux

City, IA 51101

712-252-0583

296544



5/10

K C S ,

I I K .

d ba N o l l C o l l e c t io nService

A P r o f e s s i o n a l

Debt

C o l l e t - l i o n S e r v i c e S i n c e

Creditor:

Account

:

|Amount Due;

AraouatlnBef init t i

^

L O R I N G

HOSPITAL

0 0 0 2 9 6 5 4 4 1

665.43

665.43

PA Y

THIS A M O U N T

J u n e2 0 , 2 0 1 4

( T H IS A C C O U N THASB E E N L I S T ED W I T HOURA G E N C YFOR ]

COLLECTION.

J

D H A R

C O R Y T I E F E N T H A L E R ,

Y O U A R E I N

D E F A U L T

O N

T H I S C R E D I T T R A N S A C T I O N .

Y O U

H A V E

A

R I G H T

T O C O R R E C T T H I S

D E F A U L T . I F

Y O U D O S O , Y O U M A Y

C O N T I N U E W I TH

T H E

C O N T R A C T

A S

T H O U G H

Y O U

D I D

N O T D E F A U L T .

Y O U R D E F A U L T C O N S I S TS

O F :

F A I L U R E

T O P A Y A S

AGREED

C O R R E C T T H I S D E F A U L TB Y : P A Y I N G T H E A M O U N T IN

DEFAULT.

$665.4 3 T O N O L L

C O L L E C T I O N S E R V I C E , A G E N T F O R T H E A B O V E C R E D I T O R .

IF

YOU DO NOT

CORRECT THISDEFAULTW I T H I N

30 DAYS, WE MAY

EXERCISE

OUR

RIGHTS

A G A I N S T

Y O U

U N D E R

T H E

L A W .

I F

Y O U

D E F A U L T A G A I N

W I T H I N T H H N H X T Y E A R , W E M A Y

E X E R C I S E

O U R

R I G H T S W I T H O U T

S E N D I N G Y O U A N O T H E R N O T I C E L I K E T H I S

O N H .

I F Y O U H A V E A N Y Q U E S T I O N S , W R I T EO R

T E L E P H O N E P R O M P T L Y .

U N L E S S Y O U D I S PU T E T H E V A L I D I TY O F T H E D E B T O R A N Y P O R T I O N T H E R E O F , W I T H I N 3 0

D A Y S A F T E R R E C E I P T O F

T H I S

N O T I C E , W E S H A L L A S S U M H T H E D E B T T O

B E V A L I D .

I F Y O U

N O T I F Y U S I N W R I T I N G O F Y O U R D I S P U T E

W I T H I N T H I S

3 0 D A Y P E R I O D , W E W I L L O B T A I N

V E R I F I C A T I O N O F T H E D EB T A N D W I L L M A I L Y O U A C O P Y . U P O N Y O U R W R I T T E N R E Q U E S T

W I T H I N

A T H I R T Y D A Y P E R I O D W E W I L L P R O V I D EYO U W I T HT H E N A M E A N D A NA D D R E S S

O F T H i :

O R I G I N A L

C R E D I T O R I F D I F F E R E N T F R O M TH E,C U R R E N TC R E D I T O R .

S I N C E R E L Y ,

N O L L C O L L E C T I O N

S E R V I C E

We o f f e r c o n v e n i e n t Payment Options

M a i l

p a y m e n t

in

e n c lo se d e n v e l o p e

P a y o n l i n e :

w w w . n c s c o l l e c t s . e o m

C al l u s :

( 7 1 2 ) 2 5 2 - 0 5 X 3

T H I S I S

A N

A T T E M P T T O

COLLECT

A D E B T,

A N Y I N F O R M A T I O N O B T A I N E D W I L L B E U S E D F O R T H A T P U R P O S E .

N t ' S .

I n c . ,70i D O U G L A S S L R L H ' . S U I T E

344,

S I O U X C I T Y I A5 1 1 0 1 . P H : 7 1 2 ) 2 5 2 - ( t f K X F A X : ( 7 t 2 ) - 2 3 1 - M 0 4 .

F n i a i l : m a i l

I OBOX 593

SI O U X CITY IA 51102-059.1

Personal

onfidential

ll'lll'"" " " '

lll-'hllll

CORY

T I L FL N T H A L h R

1400INGERSOI.ST

SAC CITY. I A

50583-1132

N C S

IN C

P O B O X 59 3

S IO U X

C I T YI A

51 1 0 2 - 0 59 3



6/10

NCS,

INC DBA

NOLL

COLLECTION

SERVICE

A Professional

Debt

Collection Service

Since1965

705 DOUGLAS

STREET, SUITE 344

SIOUX CITY, IA

51101

(712)

252-0583

RE :

CORY TIEFENTHALER

TIEFENTHALER,S

566106

$649.

5C C6/17/14

The

above

ctebtor

refuses

to

cooperate.

We

recommend further action,

in

order

toenforce

collection.

Sefore our

attorney

can

proceed,

we

will require:

*

Completion

of the

assignment

at the bottom of

this page.

*Copy of theitemized

statement

showingbalancedue

;if

net

previously

provided)

If the o rigin al account is acontract ornote, we must have

the

original.

Please

retu rn promptl y. Court costs will

be

advanced

on

your behalf.

Do net

accept

payments

or make

arrangements,

without calling us

first.

THANK

YOU FOR

YOUR

COOPERATION

ASSIGNMENT

FOR

PURPOSES

OF

SUIT

For valu able consideration, receipt hereby acknowledged, the und ersig ned hereb y

assign,

tra nsfe r, and set over unto

L.F.

Noli, Inc. that certa in claim aga inst

CORYTIEFENTHALER

for goods,

wares

and

merchandise sold

and

delivered

or

services rendered

and

performed inthe principalamountof

$649.50

plus lawful interest

thereon;

and

ooes

hereby authorize said assignee

to do and

perform

all

acts

necessary for collectio n; commencement of suit in the name of the assi gnee ,

settlement, adjustment,

compromise or

satisfaction

of

said claim. Assignor

hereby certifies

that

said claim is

justly

due and owing and warrants

compliance

with

requirements of the Iowa Consumer Credit Code as

well

as

disclosure and

ot her provisions

of truth in

lending,

and that

same

is

free

of

set-offs

and

ether

defenses.

...

,

2 0

4 .

THIS IS AN ATTEMPT TOCOLLECT A DEBT,

ANY IN FORMAT ION OBTAINED WILL BE USED FOR THAT PURPOSE.



7/10

7014

Demand

ill

FromHistory

LORINGHOSPITAL

211 HIGHLAND AVE

SACCITY,IA50583

712 662 71 5

/ Adm : 34356 /566106 TIEFENTHALER,S

:

905235 TIEFENTHALER, CORY

octor

: 781 DECOCK, STEVEN V

Codes: 05 Bed : Patient Type: 11

Date Date

En t

Date

Pst

Charge

Description

Page:

1

missionDate: 12/22/2013

Discharge Date: 12/22/2013

Patient Age: 0

DRG : LOS: 0

Rev

Cpt

Qty

Unit

Price Charge

Amt

12/22/13 12/27/13

PROFESS

12/22/13 12/27/13 :

12/27/13

12/22/13 12/27/13

Dept Total

Dept Total

DeptTotal

Dept Total

Patient Total

PaymentsReceived

Balance

D ue

1

145.00

1

1 405.00

1

2

39.50

1

28.80

3

1 11.78

1

145.00

145.00

405.00

405.00

79.00

28.80

107.80

11.78

11.78

669.58

20.08

649.50

Bill

History.rpt



8/10



9/10

IN THE IOWA DISTRICT COURT IN AND FOR SAC COUNTY

Plaintiff(s), SMALL CLAIMS DIVISIONL F NOLL INCPO BOX 593SIOUX CITY IA 51102

Case: 02811 SCSC015516

vs.

JUDGMENT ENTRYDefendant(s),

CORY JAMES TIEFENTHALER102 W 4TH STREETEARLY IA 50535

The court file shows that the defendant has received proper notice and has failed to answer. Therelief is readily ascertainable from the Original Notice. Pursuant to Iowa Code Section 631.5(6), thedefendant is in default and judgment should enter accordingly.

It is therefore Ordered that judgment is entered in favor of the plaintiff and against the defendant

in the amount of $ 649.50 with interest at the rate of 2.11 % from the 14th day of October, 2014 andcourt costs.The Court further enters judgment for prejudgment interest in the amount of $15.93.

YOU ARE HEREBY NOTIFIED that you have a right to appeal the decision to the District Court bygiving written notice to the Small Claims Office within 20 days of the filing of this order. Filing Fee forappeal is $185.00. Appeal Bond is set in the amount of: $700.00

1 of 2

E-FILED 2014 NOV 12 2:04 PM SAC - CLERK OF DISTRICT COURT


10/10

State of Iowa Courts

Case Number Case TitleSCSC015516 L.F. NOLL, INC. VS CORY TIEFENTHALERType: ORDER FOR JUDGMENT

So Ordered

Electronically signed on 2014-11-12 14:04:24

2 of 2

E-FILED 2014 NOV 12 2:04 PM SAC - CLERK OF DISTRICT COURT

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SCSC015516 - Judgment against Sac City man in the amount $649.50.pdf

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