The debtor is re-affirming a prior debt that was discharged for good and valuable consideration received. They acknowledge the debt of $____ to the creditor and agree to remain bound by and pay off this debt as if it was not originally discharged. The debtor must also apply to the bankruptcy court for approval if the original debt was discharged through bankruptcy. This re-affirmation agreement will be binding on the parties, their successors and assigns.
The debtor is re-affirming a prior debt that was discharged for good and valuable consideration received. They acknowledge the debt of $____ to the creditor and agree to remain bound by and pay off this debt as if it was not originally discharged. The debtor must also apply to the bankruptcy court for approval if the original debt was discharged through bankruptcy. This re-affirmation agreement will be binding on the parties, their successors and assigns.
The debtor is re-affirming a prior debt that was discharged for good and valuable consideration received. They acknowledge the debt of $____ to the creditor and agree to remain bound by and pay off this debt as if it was not originally discharged. The debtor must also apply to the bankruptcy court for approval if the original debt was discharged through bankruptcy. This re-affirmation agreement will be binding on the parties, their successors and assigns.
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
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