Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

DEBT RE-AFFIRMATION

FOR GOOD AND VALUABLE CONSIDERATION RECEIVED, the undersigned


hereby acknowledges and re-affirms to
(Creditor) and its successors and assigns, a certain prior debt discharged, released, extinguished
or cancelled pursuant to and that the undersigned
shall be and agrees to remain bound on said debt in the amount of $ o n l y
and for no greater sum, and to the same extent as if said debt to the amount stated were not
discharged in the first instance.
It is further agreed that the above stated re-affirmed debt shall be paid in the following
manner:
In addition, if said debt was discharged pursuant to any provision of the United States
Bankruptcy Code, the Undersigned shall diligently make application (before the United States
Bankruptcy Court) for said approval.
This agreement shall be binding upon the parties, their successors, assigns and personal
representatives.
Signed this day of , (year).
In the presence of:
____________________________________ ___________________________________
Witness Debtor
AHHHAZAZ

You might also like