Password Reset For Police

Below is the format you need to fill out fully in order to get your password reset.
Fresh Hotel username: Police
Email address: My real email address is [email protected]
Country of residence:I am from New York U.S.A
Approximate registration date: 09-Jul-2012!
Last sign in date I believe it was 3 or 2 years ago.
Internet Protocol (IP) address: 108.14.xxx.219
Internet service provider (ISP): Verizon
Username of other account(s) on the same IP Address (optional):

i hope this is enough