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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.

Payment Plan Request

Payment Plan Request

YOUR INFORMATION

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LOT OR UNIT INFORMATION

PAYMENT PLAN REQUEST

If Prior To Lien: Request Must Be For At Least 50 Percent Down And For No More Than 3 Monthly Payments.

By Submitting This Request I Understand That $50 In Atty Fees Will Be Added To My Account For Drafting The Promissory Note, And Another $50 Will Be Added For Processing The Installments And For Every Six Months More Of Installments Or Any Fraction Thereof. In Addition, Interest Will Be Added At The Allowed Annual Rate. I Further Understand That Requesting A Payment Plan Will Not Result In The Cessation Of Collection Efforts.
This Law Firm Is Deemed A ‘Debt Collector’ Under The Fair Debt Collection Practices Act. We Are Attempting To Collect A Debt, And Any Information Obtained Will Be Used For That Purpose.