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IF YOU ARE REPRESENTED BY AN ATTORNEY, YOU CANNOT SUBMIT THIS FORM, BUT INSTEAD MUST HAVE YOUR ATTORNEY CONTACT OUR OFFICE.
You May Use This Form To Request A Payment Plan, but IT IS ONLY A REQUEST. You Will Be Notified Whether It Is Accepted Or Denied. If It Is Accepted You Will Receive A Promissory Note To Sign And Return. If You Make A Payment Prior To Acceptance, It Will Simply Be Considered A Partial Payment On Your Balance.