form letter for a person in debt to
make monthly payments to a credit agency for a disputed item

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ACCORD AND SATISFACTION AGREEMENT - MAKING MONTHLY PAYMENTS (Debtors Full Name) (Street Address), (City, State & Zip) (Credit Adjustment Agency) (Address) (City, State & Zip) Date: Account Number(s): IN Re: Credit Reporting Agency Disputed Item To Whom It May Concern, This letter is to confirm our telephone conversation on (Date) regarding settlement of the above account. This letter is to set on paper our agreement to an Accord and Satisfaction, which means our old debt agreement will be extinguished and this new agreement will replace it. I am proposing monthly payments in the amount of $(Monthly Amount) for a total of (Number of Months) months. Upon deposit of my final payment, you hereby agree to: DELETE the above old account from all 3 major credit bureaus within 30 days, and mail me a written notice of such deletion to the address listed in this letter; Report the new account(s) as (PAID AS AGREED, ETC) upon receipt and deposit of payment, within 30 days; or, Report the new account upon as (UNRATED, ETC) with no negative marks or late pays upon receipt and deposit of said payment, within 30 days monthly payment; and, Charge an A.P.R. of (Enter Negotiated Amount) percent on the remaining outstanding account balance; and last, but not least; Cease all collection or legal activity (if any) on account(s) noted in this new agreement. If this settlement agreement is acceptable to your company, please acknowledge by signing in the space provided below and returning an original to me I have signed two identical copies of this agreement one for me and one for you. Upon receipt of this completed signed agreement, I will forward my first payment to your office within 30 days for confirmation. Thank you for your help and cooperation in this matter, and feel free to call me if you need any additional information. ____________________________________ ___________________ _____________ Authorized Representative Signature Print Name/Title Date Sincerely, Signature Sent by Certified Mail Signature required for delivery.

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