Settlement Offer

North Colony Law PC

Settlement Offer
This is a communication from a debt collector and any information provided will be used for that purpose.

Once you submit this form, we will contact you within 1 business day.
Name*

First NameLast Name
Last 4 of SSN*
Docket Number (if applicable)
Phone Number*
Please enter a valid phone number.
Email
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Would you like to make a lump sum settlement offer or propose a repayment plan?

I would like to make a one-time lump sum settlement paymentI would like to make a payment arrangement.Other
How much are you offering to settle your debt?
What date can you make your payment?

MonthDayYear
Date
How much do you want to pay per month?
When do you want to start making payments?

MonthDayYear
Date
Comments
What is your offer to settle your debt?
Please verify that you are human.*
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North Colony Law PC