Agreement With Creditor (Real Estate Related) Page 2

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The undersigned parties also agree that the debt owed by the parties to
(Creditor) is to be
disposed as follows (check one):
The terms for the repayment of the debt remain unchanged.
The terms for the repayment of the debt have been modified, and, beginning on the date of the
execution of the acknowledgment below, the creditor has agreed that one of the debtors,
, assumes the sole responsibility for
the debt and that the other debtor is released from any further liability on the debt.
The debt is paid in full and all parties to the debt are released from any further liability.
We, the undersigned, acknowledge the above agreement.
Date
Petitioner’s Signature
Date
Respondent’s Signature
Date
Creditor’s Representative’s Signature
Company
State of Arizona
)
)ss.
Acknowledged before me on:
County of
)
My Commission Expires:
Notary Public or Clerk
2 of 2
11/29/2000

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