Pasted text (3)(13)

Company Letterhead

{{company_name}}

{{company_address}}

Phone: {{company_phone}}

Email: {{company_email}}

Website: {{company_website}}

Date and Reference

Date: {{date}}

Reference: {{reference_number}}

Creditor Information

To: {{creditor_name}}

{{creditor_address}}

Debtor Information

From: {{debtor_name}}

{{debtor_address}}

Subject

Subject: Acknowledgement of Debt

Acknowledgement of Debt

I, {{debtor_name}}, residing at {{debtor_address}}, hereby acknowledge and confirm that I am indebted to {{creditor_name}}, residing at {{creditor_address}}, in the amount of {{currency}}{{amount}} ({{amount_in_words}}).

Origin of Debt

This debt originates from {{description_of_debt_origin}} (e.g., loan agreement dated {{original_agreement_date}}, services rendered on {{service_date}}, goods supplied on {{supply_date}}).

Payment Terms

I agree to repay the aforementioned debt of {{currency}}{{amount}} under the following terms: {{payment_terms}} (e.g., in {{number_of_installments}} monthly installments of {{currency}}{{installment_amount}} beginning on {{first_payment_date}} / as a lump sum payment on or before {{due_date}}).

Interest (if applicable)

It is agreed that interest shall {{include_interest_clause}} (e.g., accrue on the outstanding balance at a rate of {{interest_rate}}% per annum / not accrue on the outstanding balance).

Governing Law

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

Signature Block

Sincerely,

_____________________________

{{debtor_full_name}}

{{debtor_signature_date}}

_____________________________

{{creditor_full_name}} (Creditor - optional signature for acknowledgement of terms)

{{creditor_signature_date}}