Questionnaire - FASTER DRAFT

Who is Borrower?

A Borrower, a person who borrowed money, is:
- Business entity or Organization
- Individual
Indicate the full name of Borrower's company:
Indicate the full company's address (Borrower):

!
The company’s address is a principal address of where the business’s management sits or from where main business operations are made.
Indicate the full name of Borrower:
Indicate the full residential address of Borrower:

Who is Lender?

A Lender, a person who gave the loan, is:
- Business Entity of Organization
- Individual
Indicate the full name of Lender's company:
Indicate the full name of Lender:
Indicate the Lender's full company's address:
Indicate the Lender's full residential address:

Original Loan

Select the date on which the original loan agreement was signed:
Indicate the title of the original loan agreement:
Indicate the total amount of the debt (in USD) the Borrower owes:
Which state’s laws govern the original loan agreement?

Debt Repayment

Indicate the new final amount of a debt (in USD) the Borrower shall pay back:
The debt shall be repaid to the Lender:
- At specific date
- At Lender's written demand
- At regular installments
Select the date on which the Borrower shall repay the new amount of a debt in full:
At which intervals the Borrower shall repay the debt?
- monthly
- weekly
- annual
Indicate the amount of regular installments (in USD):
Select the date of the month, on which regular monthly installments should be made:
Select the day of the week on which regular weekly installments should be made:
Select the date of the month on which regular annual payments should be made:
Select the month of the year on which annual payments should be made:
Indicate the payment method the Borrower shall use to repay back the debt:
Select the date on which the parties sign this Debt Settlement Agreement:

Select a document's format:

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Who is Borrower?

A Borrower, a person who borrowed money, is:

Indicate the full name of Borrower's company:

Indicate the full company's address (Borrower):

Indicate the full name of Borrower:

Indicate the full residential address of Borrower:

Who is Lender?

A Lender, a person who gave the loan, is:

Indicate the full name of Lender's company:

Indicate the full name of Lender:

Indicate the Lender's full company's address:

Indicate the Lender's full residential address:

Original Loan

Select the date on which the original loan agreement was signed:

Indicate the title of the original loan agreement:

Indicate the total amount of the debt (in USD) the Borrower owes:

Which state’s laws govern the original loan agreement?

Debt Repayment

Indicate the new final amount of a debt (in USD) the Borrower shall pay back:

The debt shall be repaid to the Lender:

Select the date on which the Borrower shall repay the new amount of a debt in full:

At which intervals the Borrower shall repay the debt?

Indicate the amount of regular installments (in USD):

Select the date of the month, on which regular monthly installments should be made:

Select the day of the week on which regular weekly installments should be made:

Select the date of the month on which regular annual payments should be made:

Select the month of the year on which annual payments should be made:

Indicate the payment method the Borrower shall use to repay back the debt:

Select the date on which the parties sign this Debt Settlement Agreement:

Select a document's format: