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Fill and Sign the Free State of Minnesota County of District Court Judicial Form

Fill and Sign the Free State of Minnesota County of District Court Judicial Form

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AGREEMENT - SETTLEMENT OF ACCOUNT L&C24 Debtor____________________________________ Creditor________________________________________Address___________________________________ Address_________________________________________________________________________________ _____________________________________________City/County/State/Zip City/County/State/Zip1. The statement of account attached hereto as Exhibit "A" and incorporated herein by reference is true and correct as to the account that existed between Debtor and Creditor on the date shown below.2. Debtor and Creditor have no claims of any nature whatsoever against each other, other than those claims set forth in the attached Exhibit "A."3. Debtor on the day and year first above written has paid to Creditor the sum of $________________ and Creditor herein acknowledges receipt of such sum from Debtor, in full payment and settlement of such account.IN WITNESS WHEREOF, Debtor and Creditor have executed this Agreement on the __________ day of ________________________________, 199___.Debtor____________________________________ Creditor___________________________________[ ] Attachment: Schedule "A"

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