Title: F-21: Offer (Reduced) Lump Sum Payment
Author: Nolo
Last saved by: Joe Finlaw

Date: _____________________

_____________________
_____________________
_____________________

Attn: Customer Service

Name(s) on account: _____________________
Account number: _____________________

To Whom It May Concern:

I am now in a position to resolve this matter. I can pay a lump sum amount of $_____________________. If I make a lump sum payment of $_____________________ by ___[date]___ you will agree to do the following:

[  ] [if the amount of the debt is not disputed] You will release all claims against me and anyone else arising from this account. 
[  ] [if the amount of the debt is dispute] I dispute the amount of the debt. You will acknowledge that the balance owed on the account is $___[the amount of the lump sum payment]___, you will release all claims against me and anyone else arising from this account, and you will accept that payment as payment in full.
[  ] [if you want all information the creditor reported about this account to be removed from your credit report] You will submit a Universal Data Form or similar document to Experian, Equifax, TransUnion, and any other credit reporting agency to which you reported this account, deleting the account/trade line.

If my offer is acceptable to you, please initial the accepted proposal, sign the acceptance below, and return this letter to me in the enclosed envelope.

Sincerely,

________________________________________
	[Your signature]

Name:	_____________________
Address:	_____________________
_____________________
Home phone:	_____________________
Email address:	_____________________

Agreed to and accepted on this _____________________ day of _____________________.

By: _____________________________

Name (print): _____________________

Title: _____________________

F-21: Offer (Reduced) Lump Sum Payment                                          Page  of