This agreement allows you to compromise the repayment of a debt. The Lender agrees to accept something other than the full amount to settle the debt.
Accurate and detailed answers to the questions will ensure a better quality final document. You will be able to come back to this page and edit your answers, change other details or omit some or all of the information. Should your local jurisdiction require additional laws and statutes and you choose not to enter it in this question page, we will print the agreement with additional space for you to fill in the information at a later time.
LENDER INFORMATION
Full Name:
Address:
City:
State:
Zip Code:
Add Additional Lender?
Yes
No
SECOND LENDER INFORMATION
Full Name:
Address:
City:
State:
Zip Code:
BORROWER INFORMATION
Full Name:
Address:
City:
State:
Zip Code:
Add a second Borrower?
Yes
No
SECOND BORROWER INFORMATION
Full Name:
Address:
City:
State:
Zip Code:
REPAYMENT INFORMATION
Will a Promissory Note or other contract be attached to this Agreement?
Yes
No
Amount of current debt
$
Repayment to be made in the form of:
Amount to pay off debt:
$
Outline the terms of the pay out, will it be one lump sum or multiple monthly payments etc.
Detail the trade, be sure to include the date the trade will take place and any other important information:
Detail the services to be provided, include dates and times as well as any other important information:
Detail how the debt shall be repaid, include dates and times as well as any other important information:
FINAL DETAILS
Agreement Signing Date:
Will a witness also be signing this agreement?
Use the area below to enter any other details that you would like:
(Leave blank if not needed)
