Duncan Solutions TCPA Administrator P.O. Box 43317 Providence, RI 02940-3317 DSL Duncan Solutions, Inc. Automated Call Litigation Claim Form Luster v. Duncan Solutions, Inc. et al., Case No. 1:14-cv-00112-AT (N.D.Ga.) Your Information 1. Your name: 2. Address: City: State: 3. Contact telephone number: Zip code: Email: 4. Cellular phone number at which you received phone call(s) from Duncan: CERTIFICATION By submitting this claim form, I certify that I received one or more automated and/or prerecorded telephone calls on my cellular telephone on or after December 19, 2009, from Duncan Solutions, Inc., Professional Account Management, LLC or Law Enforcement Systems, LLC, on a cell phone number. I also certify that the information supplied herein is true and correct according to the best of my personal knowledge. I agree to the full release of claims contained in the Settlement Agreement. Date (mm/dd/yyyy) Signature Return the Claim Form Duncan Solutions TCPA Administrator P.O. Box 43318 Providence, RI 02940-3318 Your mailed claim form must be postmarked on or before March 12, 2015. YOUR CLAIM FORM WILL NOT BE RETURNED TO YOU. PLEASE RETAIN A COPY FOR YOUR RECORDS. ACCURATE PROCESSING AND VERIFICATION OF CLAIMS MAY TAKE A SIGNIFICANT AMOUNT OF TIME. THANK YOU IN ADVANCE FOR YOUR PATIENCE. QUESTIONS? A COPY OF THE CLASS NOTICE, SETTLEMENT AGREEMENT AND OTHER INFORMATION REGARDING THE SETTLEMENT IS AVAILABLE AT THE CLAIMS ADMINISTRATOR’S WEBSITE AT WWW.DUNCANTCPASETTLEMENT.COM. YOU CAN ALSO CALL THE CLAIMS ADMINISTRATOR TOLL-FREE AT 1-888-926-6237. DSLPCW1