Free Affidavit of Payment Agreement Template
Affidavit of Payment Agreement
I. Introduction
This Affidavit of Payment Agreement is created to formally document the agreed-upon payment terms between the undersigned parties. This document serves as an official record of payments and obligations as outlined below.
II. Parties Involved
The parties involved in this Payment Agreement are as follows:
Creditor:
Name: Amelia Pagac
Address: Tampa, FL 33601
Email: amelia@you.mail
Debtor:
Name: Jasen Gaylord
Address: Colorado Springs, CO 80901
Email: jasen@you.mail
III. Payment Details
The payment agreement between the parties is based on the following terms:
|
Payment Date |
Amount Owed |
Amount Paid |
Balance Remaining |
|---|---|---|---|
|
January 15, 2050 |
$5,000.00 |
$2,500.00 |
$2,500.00 |
|
February 15, 2050 |
$2,500.00 |
$2,500.00 |
$0.00 |
Payment Schedule:
-
A total of $5,000.00 was owed to Amelia Pagac by Jasen Gaylord for services rendered under contract dated November 1, 2049.
-
The first payment of $2,500.00 was made on January 15, 2050.
-
The second and final payment of $2,500.00 was made on February 15, 2050, clearing the balance.
IV. Conclusion
By signing this affidavit, both parties acknowledge that all payments have been made according to the agreed schedule and that no further amounts are due. This document serves as a final confirmation of payment for both parties involved.
Prepared by:
[YOUR NAME]
[YOUR EMAIL]
