Fillable ERIC SCHMITT Information About Consumer (Missouri)

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ERIC SCHMITT Information About Consumer (Missouri)

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Consumer
Complaint Form
ago.mo.gov
800-392-8222
MISSOURI ATTORNEY GENERAL
ERIC SCHMITT
If you would like to le a consumer complaint, please complete and mail this form to:
Missouri Attorney General’s Oce • Consumer Protection Unit • P.O. Box 899 • Jeerson City, MO 65102
Information About Consumer
YOUR NAME
First
Last
ADDRESS
Street
City Zip County
Mi
(
)
-
E-MAIL
PRIMARY PHONE NO.
(
)
-
SECONDARY PHONE NO.
Information About Complaint
BUSINESS NAME
(
)
-
BUSINESS PHONE NO.
BRIEFLY DESCRIBE YOUR COMPLAINT
Modied September 2019
Yes
ARE YOU 60 OR OVER?
ARE YOU OR YOUR
LOVED ONE DISABLED?
ARE YOU A VETERAN?
Yes
Yes
No
No
No
DATE OF TRANSACTION/PURCHASE
/ /
2 0
MM / DD/ YYYY
Yes
No
FINANCIAL LOSS?
Yes
No
IS CONTRACT SIGNED?
(
)
-
BUSINESS FAX NO.
E-MAIL
WEBSITE
CONTACT NAME
CONTACT TITLE
AMOUNT PAID
$
You may attach a separate sheet of paper if you need more space.
State
ADDRESS
Street
City Zip County
State
Consumer
Complaint Form
ago.mo.gov
800-392-8222
MISSOURI ATTORNEY GENERAL
ERIC SCHMITT
Information About Product or Service
PRODUCT OR SERVICE DISPUTED
Your Verication
YOUR SIGNATURE
BY FILING THIS COMPLAINT, I UNDERSTAND THAT:
/ /
2 0
MM / DD/ YYYY
DATE
Modied September 2019
HOW WOULD YOU LIKE YOUR COMPLAINT RESOLVED?
HAVE YOU CONTACTED ANY OTHER AGENCIES?
MO Department of Revenue
MO Secretary of State
Better Business Bureau
Federal Trade Commission (FTC)
Internet Crime Complaint Center (ICCC)
Consumer Financial Protection Bureau (CFPB)
Cancel
Refund
Deliver product
Perform service
Repair
Replace/Trade
Other (please explain)
Investigate business
The Attorney General is not my private attorney, but enforces state consumer protection laws;
I would be willing to testify in court to the fact stated in this complaint;
A copy of this complaint will be provided to the merchant against whom I am ling this complaint; and
In accordance with Missouri law, consumer complaints are “public records,” subject to public disclosure upon request.
My complaint, including my name, address and related documents, may be provided pursuant to a Sunshine Law request.
I ATTEST TO THE ACCURACY OF STATEMENTS MADE IN THIS COMPLAINT:
WHAT ACTION HAVE YOU TAKEN TO RESOLVE THIS COMPLAINT?
No action taken
Sent email to business
Sent letter to business
Filed a lawsuit Contacted a private attorney
Filed a complaint with another agency
Other (please explain)
Police Department (enter agency name)
PAYMENT METHOD
Cash
Credit Card
Debit Card
Loan
Layaway
Check Other
Information About Resolution
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ERIC SCHMITT Information About Consumer (Missouri)

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Completed 4 December 2021

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