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Date:  ______________________


To:  ________________________



This serves to confirm our agreement of ___________ (month & day), ___ (year) in which you acknowledge the outstanding overdue debt of _________________ ($________) to our company.  We agreed that you shall make consecutive weekly payments of ____________ ($________) until the debt is satisfied in full.  We further agreed that I would receive the first payment by ___________ (month & day), ___ (year) and each successive payment every ___________________ thereafter.  I sincerely appreciate your cooperation in resolving this matter.  Finally, would you acknowledge our agreement by signing the enclosed copy and returning it to me in the enclosed self-addressed envelope.



_______________________________                          ___________________

Signature                                                                          Date


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