Agreement #1 Client Address City, State Zip Re: Account # This letter is to confirm our agreement regarding your debt to ____________________________ of $________________, as of ___________(date).Debt Repayment Agreement • November 7th, 2020
Contract Type FiledNovember 7th, 2020The laboratory will continue servicing your account, for which you have agreed to pay ______________ by the 15th of each month, your current balance plus $___________. It is also understood that the first payment is due by _________(date) and payment will continue until the account is brought current.