How will the settlement be paid? How will the settlement be paid? Upon signingScheduled paymentsOther How will payment be made? Amount of original debt: $ Amount of settlement: $ This is what the debtor will pay. How much will each payment be? $ Payments are due: Payments are due: DailyWeeklyMonthlyQuarterlyYearlyOther Payments will be made: Payments are due every: Payments are due every: MondayTuesdayWednesdayThursdayFridaySaturdaySunday Payments are due on the: 1st2nd3rd4th5th6th7th8th9th10th11th12th13th14th15th16th17th18th19th20th21st22nd23rd24th25th26th27th28th29th30thof the month Last day the debtor can make a payment: Will the unpaid balance accrue interest? Will the unpaid balance accrue interest? YesNo Interest rate: % Is there a penalty for late payments? Is there a penalty for late payments? YesNo What is the late fee or penalty? Will the creditor have to inform credit reporting agencies that debt is paid? Will the creditor have to inform credit reporting agencies that debt is paid? YesNo Any additional terms and conditions? Any additional terms and conditions? YesNo Explain: Where is this agreement being signed? SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming Who is the debtor? The debtor owes money. Do you want to enter the debtor's address? Do you want to enter the debtor's address? YesNo - I'll do this later Enter the debtor's address: Who is the creditor? The creditor is owed money. Do you want to enter the creditor's address? Do you want to enter the creditor's address? YesNo - I'll do this later Enter the creditor's address: Effective date: Next Save Save and finish later
