Finance Called Accounts Document

Finance Called Accounts Document

Creditor (From)

Debtor (To)

Account Summary — Itemized Called Accounts

The creditor identifies the following outstanding items that are hereby called for payment. Each line reflects the original charge and current balance due. Disputes to any item must be provided in writing within ten (10) calendar days of the Call Date.

Call Date and Demand

Call Date: — The creditor hereby demands payment in full of the Current Balance Due identified above. Payment in full is due on or before unless a written repayment agreement is executed below. Failure to pay by the due date shall constitute default as defined in this document.

Payment Terms

Principal amount for collection is the Current Balance Due. Interest on any unpaid principal shall accrue at an annual rate of per annum, calculated daily and compounded monthly from the Demand Due Date until paid. A late fee of will be charged on amounts not paid within ten (10) days of the Demand Due Date.

Proposed Repayment Schedule (Optional)

If the parties agree to a repayment schedule, complete the milestones below. Each installment payment must be received by the Creditor by the stated due date. Missed installments are an event of default.

Default, Remedies, and Costs

Upon default, the Creditor may declare the entire unpaid balance immediately due and payable, pursue collection through internal or external collection resources, and seek reasonable collection costs, court costs, and attorneys' fees incurred in enforcement, to the extent permitted by applicable law. Creditor may also report the default to consumer or commercial credit reporting agencies where permitted.

Assignment and Authorization

The Creditor reserves the right to assign or sell any or all of the Called Accounts. Debtor hereby authorizes Creditor or its assignee to apply any payments received toward the accounts listed above in such order as Creditor deems appropriate. The Debtor authorizes Creditor to obtain and verify credit and employment information as may be necessary to collect this debt.

Dispute, Notices, and Acknowledgement

Any dispute concerning the validity or amount of the Called Accounts must be submitted in writing within ten (10) calendar days of the Call Date; otherwise the Debtor will be deemed to have acknowledged the indebtedness as stated. Notices required under this document shall be effective when delivered in writing to the addresses provided above or as later updated in writing by either party.

Acknowledgement and Certification

By signing below, the parties certify under penalty of perjury that the information herein is true and correct to the best of their knowledge, that the Debtor acknowledges the Called Accounts as described above (subject to any timely dispute), and that the parties agree to be bound by the Payment Terms and Repayment Schedule, if executed. Each party warrants that they have authority to enter into this agreement.

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