"Agreement With Creditor Template (Non Real Estate Related)" - Arizona

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Download "Agreement With Creditor Template (Non Real Estate Related)" - Arizona

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Agreement with Creditor
(Non Real Estate Related)
The parties to this agreement include:
Petitioner:
and
Respondent:
,
who are parties to a dissolution of marriage action filed in
County Superior Court, Arizona, case number
and
who is duly authorized representative of
(The creditor).
The undersigned parties agree that the debt owed by the parties to
(Creditor) regarding
Account #/Credit Card #
is to be disposed of as follows (check one):
the debt is the joint responsibility of the parties, with payment to be made on the following terms:
the bala nce of the debt is the sole responsibility of
and
the creditor releases
from any other liability for that debt, with
payments to be made on the following terms:
the debt has been paid in full as of this date.
We, the undersigned, acknowledge the above agreement.
1 of 2
11/29/2000
Agreement with Creditor
(Non Real Estate Related)
The parties to this agreement include:
Petitioner:
and
Respondent:
,
who are parties to a dissolution of marriage action filed in
County Superior Court, Arizona, case number
and
who is duly authorized representative of
(The creditor).
The undersigned parties agree that the debt owed by the parties to
(Creditor) regarding
Account #/Credit Card #
is to be disposed of as follows (check one):
the debt is the joint responsibility of the parties, with payment to be made on the following terms:
the bala nce of the debt is the sole responsibility of
and
the creditor releases
from any other liability for that debt, with
payments to be made on the following terms:
the debt has been paid in full as of this date.
We, the undersigned, acknowledge the above agreement.
1 of 2
11/29/2000
Date
Petitioner’s Signature
Date
Respondent’s Signature
Date
Creditor’s Representative’s Signature
Company
State of Arizona
)
)ss.
Acknowledged before me on:
County of
)
My Commission Expires:
Notary Public or Clerk
WARNING: if you do not understand this agreement, you should contact an attorney for
advice about your legal rights and obligations.
2 of 2
11/29/2000
Page of 2