INSTALLMENT AGREEMENT TO PAY DEBT
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
