What is the total amount owed by the other party? $ Do you want to offer a discount if a full payment can be made immediately? Do you want to offer a discount if a full payment can be made immediately? Yes No Discounted outstanding balance $ Discounted due date Discount will apply if full payment is made withindays of receiving this letter Do you want to offer payment installment as an option? Do you want to offer payment installment as an option? YesNo This allows the debtor to make a series of payments over a specified duration. Select the desired installment types: (check all that apply) Select the desired installment types: (check all that apply) WeeklyMonthly Minimum Payment Per Week $/ Week Minimum Payment Per Month $/ Month Is this the final notice? Is this the final notice? YesNo Before the debt is sent to collections or legal action is pursued How do you want to receive the payment? How do you want to receive the payment? Within a specified # of days By a due date Enter due date Withindays of receiving this letter Do you want to include any additional terms or conditions? Do you want to include any additional terms or conditions? YesNo e.g. Late fees, interest charged, etc. Enter any additional terms or conditions: Do you want to specify what the overdue balance is for? Do you want to specify what the overdue balance is for? YesNo e.g. Missed rent payment, child support, personal injury, etc. The overdue balance is from The overdue balance is from Personal loanMissed payment (rent, child support, etc.)Service providedOther (personal injury, merchandise, etc.) Original loan amount $ When was the loan made? Which payments are overdue? What was provided? Date(s) of the service Original amount owed $ Provide details: Are you writing this letter on behalf of yourself? Are you writing this letter on behalf of yourself? Yes, I am the party owed.No, I am representing the creditor. Enter your name Name of representation Name of creditor Do you want to provide your contact information? Do you want to provide your contact information? Yes (Recommended)No Phone number Email address Do you want to include your mailing address? Do you want to include your mailing address? YesNo Street Address City, State Zip Code Who is this letter for? i.e. The other party that owes payment Do you want to enter the debtor's mailing address? Do you want to enter the debtor's mailing address? YesNo, I will enter it later. Street Address City, State Zip Code Do you want to electronically sign this letter? Do you want to electronically sign this letter? YesNo Signature Clear Please draw your signature. Next Save Save and finish later
