Claimant Information

Due to the legal process, all primary plaintiffs must provide personal information. We will not be able to legally make distributions to any claimant who has not provided this information.

*Name

*Email

*Phone Number

*Date of Birth

*Address

*State2-Digit State

*City

*ZIP

Please upload any supporting documentation to support your claim.

You will be able to add additional documents at a later time.

Document UploadUpload any documents that support your claim.

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Retainer Contribution

All Primary Plaintiffs are required to contribute a minimum of $3,500 USD toward the legal retainer fund. Contributions are processed through our internal BTCPay Server, which allows us to securely handle transactions while avoiding costly third-party processor fees. At this time, contributions are accepted exclusively in cryptocurrency, as the Recovery Effort is a small organization and does not maintain a bank account to receive or process fiat payments.

If you have already processed your contribution, please inter the payment ID in the field below. If you need to make your contribution, click the ‘Pay with BTCPay’ button below and you will be taken to the checkout process. Be sure to note your payment ID and enter it here after your payment has been made.

Our BTCPay server currently supports payments via BTC, LTC, DOGE, and USDT-Tron. If any of these options are not present during checkout, the node for that currency may be temporarily unavailable.

*Payment IDProvide your payment ID from BTCPay

Claim Information

Please provide the following information regarding your claim / loss.

YOU WILL BE ABLE TO ADD TO THIS LATER. You will receive your portal login via email and can modify your claim at that time.

*Xeggex User IDProvide the username used on the Xeggex platform.

*Promissary TokensWere you given any promissary tokens or coins on the platform?

Promissary InventorySubmit a list of the promissary tokens or coins that you were given

*Estimated ClaimWhat is the total estimated value of your claim?

Certification

*SignatureEnter your full name as your signature

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I affirm that the information submitted in this form is true and accurate to the best of my knowledge. Knowingly submitting false information may be considered perjury.

Xeggex Recovery Effort USA

Plaintiff Submission Received

Claimant Information

Retainer Contribution

Claim Information

Certification