Upon receipt of Request for Certificate Of Judgment, complete this form, attach a copy of defendant's affidavit(s) if available and FAX to Setoff. 1. Enter your address at the top of the letter.STATE OF NORTH CAROLINA. County. File No. Name Of Plaintiff(s). When a debt collector is asking you to pay money, you're entitled to ask for details. Directions: Fill out this letter with your information. Do I qualify for an exemption? How do I get a FinCEN ID?