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I, {Debtor Name}, hereby swear and affirm that I will pay {Collector Name} {full amount} in installments of {installment amount} every {week/month/year} until {termination date}.
I understand that every installment is due on the {day/time} of the {week/month/etc.} and must be paid in its entirety at that time.
If I should default on any installment of the payment at any time, {Collector Name} may, without notice or warning, declare the entirety of the remaining unpaid amount due and payable immediately.
___________________ __________________
Debtor Printed Name Debtor Signature
Date:
____________________ __________________
Witness Printed Name Witness Signature
Date:
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Index of Printable Contract Examples
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