Free Affidavit of Payment for Outstanding Charges Template

Affidavit of Payment for Outstanding Charges

I. Affidavit of Payment for Outstanding Charges

This Affidavit of Payment for Outstanding Charges is prepared to confirm the payment of all outstanding debts as described below. The undersigned swears under oath that the payment has been completed in full as outlined in this document.

Prepared by: [YOUR NAME]
[YOUR EMAIL]


II. Debtor and Creditor Information

The following provides details about the debtor and creditor involved in this payment settlement:

Debtor Name

Creditor Name

Amount Paid

Date of Payment

Beverly Haley

KinFinity

$2,500.00

June 15, 2050

  • Debtor Name: Beverly Haley

  • Creditor Name: KinFinity

  • Payment Amount: $2,500.00

  • Payment Date: June 15, 2050


III. Payment Confirmation and Details

This section confirms that the payment was made in full and has been received by the creditor. The payment was settled on June 15, 2050, via bank transfer to KinFinity, as documented in the payment receipt attached.

No outstanding balances remain between the debtor and creditor following this payment. All charges associated with the original agreement have been cleared.


IV. Conclusion

By signing this affidavit, the undersigned confirms the accuracy of the information provided and swears that the payment mentioned above has been completed in full as of June 15, 2050. The undersigned acknowledges the receipt of the payment and agrees that no further actions are required.

Signature of Debtor
Date: June 15, 2050

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