Free Debt Management Plan Sheet Template

Debt Management Plan Sheet


Personal Information

Field

Details

Name

Address

Phone Number

Email Address


Debt Summary

Creditor

Original Debt

Current Balance

Interest Rate

Proposed Payment

Creditor 1

$5,000

$4,500

18%

$125

Total

$5,000

$4,500

$125


Debt Repayment Plan Overview

Details

Amount

Total Debt

Total Monthly Payment

Proposed Term

Estimated Interest Savings


Creditor Negotiations

Creditor

Negotiated Interest Rate

Negotiated Payment

Additional Notes

Creditor 1

12%

$125

Reduced interest rate, extended payment period.


Payment Instructions

Detail

Information

Total Monthly Payment

$490

Payment Method

Payments should be made to the debt management agency or as directed by the debt management plan coordinator.


Contact Information for Debt Management Agency

Detail

Information

Agency Name

[Your Company Name]

Phone Number

[Your Company Number]

Email Address

[Your Company Email]

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