Agreement to Extend Debt Payment Terms

Company Letterhead

{{company_name}}

{{company_address}}

Phone: {{company_phone}}

Email: {{company_email}}

Website: {{company_website}}

Date

{{date}}

Creditor Information

Creditor Name: {{creditor_name}}

Creditor Address: {{creditor_address}}

Creditor Contact Person: {{creditor_contact_person}}

Creditor Contact Email: {{creditor_contact_email}}

Debtor Information

Debtor Name: {{debtor_name}}

Debtor Address: {{debtor_address}}

Debtor Contact Person: {{debtor_contact_person}}

Debtor Contact Email: {{debtor_contact_email}}

Original Debt Details

Original Agreement Date: {{original_agreement_date}}

Original Debt Amount: {{original_debt_amount}}

Original Payment Terms: {{original_payment_terms}}

Reason for Extension Request: {{reason_for_extension}}

Extended Payment Terms

The parties hereby agree to extend the payment terms for the aforementioned debt under the following revised schedule:

New Total Debt Amount (if adjusted): {{new_total_debt_amount}}

Revised Payment Due Date: {{revised_payment_due_date}}

New Installment Amount (if applicable): {{new_installment_amount}}

Payment Frequency (if applicable): {{payment_frequency}}

Start Date of Revised Payments: {{start_date_revised_payments}}

Interest Rate (if applicable, per annum): {{interest_rate_pa}}

Late Payment Penalties (if applicable): {{late_payment_penalties}}

Terms and Conditions

All other terms and conditions of the original agreement, not explicitly modified herein, remain in full force and effect.

This agreement constitutes the entire understanding between the parties with respect to the subject matter hereof and supersedes all prior discussions, negotiations, and agreements.

This agreement shall be governed by and construed in accordance with the laws of {{country_name}}.

Consent and Acknowledgment

By signing below, both parties acknowledge that they have read, understood, and agree to the revised debt payment terms as outlined in this agreement.

Signature Block

_______________________________ _______________________________

Creditor Signature Debtor Signature

{{creditor_printed_name}} {{debtor_printed_name}}

{{creditor_title}} {{debtor_title}}

Date: {{creditor_signature_date}} Date: {{debtor_signature_date}}