Fec Form 8 - Debt Settlement Plan (Page 2 of 3) in pdf

Fec Form 8 - Debt Settlement Plan Page 2

DEBT SETTLEMENT PLAN

PART II

NAME OF COMMITTEE

FEC I.D. NUMBER

PAGE

CREDITOR SUMMARY INFORMATION

(FILL OUT FOR EACH CREDITOR IN PLAN)

FULL NAME AND MAILING ADDRESS OF CREDITOR

DATE INCURRED

AMOUNT OWED

AMOUNT

TO CREDITOR

OFFERED IN

SETTLEMENT

TYPE OF CREDITOR:

INCORPORATED

UNINCORPORATED

COMMERCIAL VENDOR

CANDIDATE

COMMITTEE EMPLOYEE

OTHER INDIVIDUAL

A. TERMS OF THE INITIAL EXTENSION OF CREDIT AND NATURE OF THE DEBT

B. EFFORTS MADE BY THE COMMITTEE TO PAY THE DEBT

C. STEPS TAKEN BY THE CREDITOR TO COLLECT THE DEBT

CREDITOR SECTION

(TO BE FILLED OUT BY CREDITOR)

D. WAS THE EFFORT MADE BY THE CREDITOR TO COLLECT THE DEBT SIMILAR TO OTHER DEBT COLLECTION EFFORTS AGAINST NONPOLITICAL DEBTORS?

YES

IF NO, PLEASE EXPLAIN

E. ARE THE TERMS OF THE DEBT SETTLEMENT COMPARABLE TO OTHER SETTLEMENTS MADE BY THE CREDITOR WITH OTHER NONPOLITICAL DEBTORS?

YES

IF NO, PLEASE EXPLAIN

As a representative of the creditor, I hereby accept the settlement offer made to me by the committee and upon payment agree to consider

the debt satisfied (or attach a copy of the signed settlement).

DATE

SIGNATURE OF

➢

CREDITOR OR

REPRESENTATIVE

FE1AN061.PDF

Fec Form 8 - Debt Settlement Plan Page 2