Fill and Sign the Agreement Real Estate Form

Agreement with Creditor (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 a duly authorized representative of       (Creditor). The undersigned parties agree that the debt owed by the parties to       (Creditor), Account/Loan #       , is secured by real property located in the State of Arizona, legal description as follows: Insert full legal description) Copies of the note and recorded security agreement for the above described debt are attached hereto and incorporated herein for all purposes as though fully restated as Exhibits A (Note) and B (Security Agreement). (Attach these documents) 11/29/2000 1 of 2 The undersigned parties also agree that the debt owed by the parties to       (Creditor) is to be disposed as follows (check one): The terms for the repayment of the debt remain unchanged. The terms for the repayment of the debt have been modified, and, beginning on the date of the execution of the acknowledgment below, the creditor has agreed that one of the debtors,       , assumes the sole responsibility for the debt and that the other debtor is released from any further liability on the debt. The debt is paid in full and all parties to the debt are released from any further liability. We, the undersigned, acknowledge the above agreement.       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 11/29/2000 2 of 2