Insert date the CCLR is sent to the Central Intake Facility (CIF) or to Central Justice
                        in Washington, D.C.
                     
                     If the debt is less than $500,000, complete item 3 to show the name and complete mailing
                        address of the U.S. Attorney and the following address:
                     
                     
                        - 
                           
                                
                                  U.S. Department of Justice
 Central Intake Facility
 2 Constitution
                                    Square
 145 N Street, N.E., Room 5E.307
 Washington, DC 20002
 
 
If the debt is $500,000 or more, show:
                     
                        - 
                           
                                
                                  Commercial Litigation Branch
 Civil Division
 U.S. Department of
                                    Justice
 P.O. Box 875
 Ben Franklin Station
 Washington, D.C. 20044
 
 
Review to ensure completion in accordance with the GN 02215.168 guidelines and that all necessary documentation is attached.