A separate form should be completed for each applicable debt 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your full name in the designated field (first, middle, last). This ensures that your identity is clearly associated with the debt information.
3. Select the type of debt from the options provided: Credit card, Student loan, or Other. If you choose 'Other', please specify the type in the space provided.
4. Fill in the date of delinquency. This is crucial for tracking when the debt became overdue.
5. Input both the original amount of debt and the current or final balance. This helps provide a clear financial picture.
6. Record the date of your last payment to indicate any recent activity on this account.
7. Indicate the current status of this debt, which may include options like 'Paid', 'In Collections', etc.
8. Provide details about the entity that originally extended credit, including their address and contact information.
9. If applicable, enter information about any current creditor on this debt, if different from above.
10. In the space provided below, discuss the history of this debt and any actions taken to collect it. Be thorough to give context to your situation.
11. Finally, outline what steps are being taken to correct outstanding debts. This shows proactive management of your financial obligations.

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