Past Due Payment Arrangement Agreement for the United States
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Past Due Payment Arrangement Agreement
"Need a Past Due Payment Arrangement Agreement for a medical facility patient who owes $25,000 in unpaid bills, to be paid in monthly installments of $2,500 starting March 2025, with a 5% interest rate and default provisions if payments are missed."
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1. Parties: Identification of creditor and debtor with full legal names and addresses
2. Background: Details of original debt, current amount owed, and circumstances leading to arrangement
3. Definitions: Key terms used throughout the agreement including Payment Terms, Original Debt, and Default
4. Payment Terms: Specific payment schedule, amounts, methods of payment, and due dates
5. Default Provisions: Consequences of missing payments or breaching agreement, including remedies and cure periods
6. Governing Law: Specification of applicable state law and jurisdiction
7. Signatures: Execution block for all parties with date and witness requirements
1. Interest Rates: Terms for interest charges, including rate calculation and application to outstanding balance
2. Security: Details of any collateral or security arrangements securing the debt
3. Early Payment Provisions: Terms for early payoff options and treatment of additional payments
4. Dispute Resolution: Procedures for handling disputes and specified mediation or arbitration processes
5. Representations and Warranties: Statements of fact and promises made by both parties regarding the debt and their capacity
1. Schedule A - Payment Schedule: Detailed calendar of payment dates, amounts, and running balance
2. Schedule B - Original Debt Documentation: Copies of original agreements, invoices, or other debt evidence
3. Schedule C - Statement of Account: Current balance, payment history, and breakdown of principal and interest
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