| To Whom It May
Concern,
I am writing to reaffirm our agreement regarding the
settlement of a debt that I owe to your company. The terms
agreed upon were:
1) “I”__________________________, agree
to pay __________________________”YOU” the
amount of $__________ in full satisfaction of all amounts
that I owe you, and YOU agree to accept this amount in
full satisfaction of all amounts that I previously owed
you.
2) I agree to pay the above amount in one installment
for the amount of $__________. I will render a check on
/ / , I will mail this payment to your office located
at:
Address:_____________________________________________________________________
If incorrect please correct address here:
____________________________________________________________________________
3) My non-payment of the full amount when it is due will
leave me in default. If I am in default, you may send
me a written notice advising me that, if I do not pay
the overdue amount by a certain date, the entire unpaid
balance will become due within 30 days after the date
on which the notice is delivered or mailed to me.
4) Upon discharging this debt, you agree to notify each
credit bureau to which you report credit information,
that any adverse credit information regarding my account
with you is no longer verifiable, and that it should be
deleted from my credit report.
If you agree to the terms and conditions contained herein,
please sign this agreement in the places provided and
return this document to me at the address shown below.
Terms and conditions accepted and agreed by: _____________________________________________
Name
____________________________________________
Signature
____________________________________________
Title
Sincerely,
____________________________________
Signature
Address: _________________________________________
_________________________________________
_________________________________________
Date: ________________
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