Debt Management Plan Sheet
Personal Information
Field | Details |
|---|
Name | |
Address | |
Phone Number | |
Email Address | |
Debt Summary
Creditor | Original Debt | Current Balance | Interest Rate | Proposed Payment |
|---|
Creditor 1 | $5,000 | $4,500 | 18% | $125 |
| | | | |
| | | | |
| | | | |
Total | $5,000 | $4,500 | | $125 |
Debt Repayment Plan Overview
Details | Amount |
|---|
Total Debt | |
Total Monthly Payment | |
Proposed Term | |
Estimated Interest Savings | |
Creditor Negotiations
Creditor | Negotiated Interest Rate | Negotiated Payment | Additional Notes |
|---|
Creditor 1 | 12% | $125 | Reduced interest rate, extended payment period. |
| | | |
| | | |
| | | |
Payment Instructions
Detail | Information |
|---|
Total Monthly Payment | $490 |
Payment Method | Payments should be made to the debt management agency or as directed by the debt management plan coordinator. |
Contact Information for Debt Management Agency
Detail | Information |
|---|
Agency Name | [Your Company Name] |
Phone Number | [Your Company Number] |
Email Address | [Your Company Email] |
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