Fill and Sign the Fmr Formatting Template Defensegov

- 1 - PAYMENT PLAN AGREEMENT This is an effort to collect a debt. Information gained will be used for that purpose. Date: __________ __________________________________________________ ______________________________________________________________________________________________________________________________________________________ Dear _____________________________ : Law firm records show that your balance due the firm is now $ _________________ . Your last payment was for $ _________________ dated _________________ . According to your prior agreement with the firm, all sums billed are due within thirty days of billing. The firm may withdraw from representation when balances remain unpaid, subject to applicable restrictions and the law of attorney ethics. Interest accrues immediately on all unpaid balances immediately following billing. All delinquent balances are civil debts upon which the law firm may sue for judgment at any time. The law firm may also potentially have rights to place liens upon specific assets subject to the legal proceeding for which the firm has provided you services. The law firm also reserves the right to require payment of additional retainer funds prior to beginning any further representation which might generate fees or costs, or we may withdraw. We now propose to set up a payment arrangement to amortize current amounts due only, while retaining all rights of the firm listed above. TERMS: We propose that you forward an initial payment of $ _________________ to be received by the firm prior to _________________; Thereafter, monthly payments of $ _________________ must be received by the _________________ of each subsequent month. IF PROMPT PAYMENT IS NOT POSSIBLE, the client/debtor must contact the firm promptly to make alternate arrangements and confirm those arrangements in a separate writing to the firm.. Agreed : ______________________________ ______________________________ Client/Debtor Attorney Please sign the original and return it to the law firm by mail to indicate agreement.