Debt Collection-Settlement Agreement and Payment Plan

Debt Collection- Settlement Agreement and Payment Plan

SEND TO:*

DO YOU WANT TO SEND A COPY TO A BANKS LEGAL STAFF?*

Banks Legal Members*

DATE ON WHICH SETTLEMENT AGREEMENT SHALL OCCUR

DESCRIPTION OF AGREEMENT TO WHICH THE DEBT RELATES

DATE ON WHICH FIRST DEMAND FOR PAYMENT OF THE DEBT WAS MADE

CURRENCY CODE OF THE DEBT

AMOUNT OF DEBT

AMOUNT IN WORDS

CREDITOR PERSONAL INFORMATION

FULL LEGAL NAME OF CREDITOR*

REGISTERED ADDRESS OF THE CREDITOR

CREDITOR BANK ACCOUNT NUMBER

CREDITOR ACCOUNT NAME

CREDITOR ACCOUNT BANK NAME

CREDITOR ACCOUNT LOCATION

CREDITOR ACCOUNT BIC/SWIGT/SORTCODE

CREDITOR ACCOUNT IBAN

CREDITOR'S ADDRESS FOR SERVICE

CREDITOR FACSIMILIE NUMBER

CREDITOR EMAIL ADDRESS FOR SERVICE

CREDITOR REPRESENTATIVE TO WHOM NOTICE SHOULD BE SENT