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Payment Installment Form
"I need a Payment Installment Form for a B2B arrangement where my company is owed NZD 50,000, to be paid in monthly installments over 18 months starting March 2025, with security over the debtor's equipment and a personal guarantee from the director."
1. Parties: Identification of the creditor/payee and debtor/payer, including full legal names, addresses, and contact details
2. Background: Brief context of the debt or payment obligation that has led to this installment arrangement
3. Definitions: Key terms used throughout the document defined for clarity and legal certainty
4. Payment Details: Total amount owed, number of installments, payment frequency, and amount per installment
5. Payment Method: Specified method(s) of payment, including bank account details or other payment mechanisms
6. Payment Schedule: Specific dates or day of month/week when payments are due
7. Default and Remedies: Consequences of missed payments and steps that will be taken in case of default
8. Acknowledgment: Confirmation that both parties understand and agree to the terms
9. Execution: Signature blocks for all parties, including date and witness provisions if required
1. Early Payment Provisions: Terms for early repayment of the total amount, including any applicable discounts or fees
2. Security: Details of any security or guarantee provided for the payment arrangement
3. Interest Charges: Any interest charges applicable to late payments or the installment arrangement
4. Variation of Terms: Process for changing payment terms or renegotiating the agreement
5. Privacy Statement: Details about how personal and financial information will be handled
6. Dispute Resolution: Process for resolving any disputes that may arise during the payment period
1. Schedule 1 - Payment Schedule: Detailed breakdown of payment dates and amounts
2. Schedule 2 - Original Debt Documentation: Copy or reference to the original invoice, contract, or basis for the debt
3. Schedule 3 - Direct Debit Authorization: If applicable, the direct debit setup and authorization forms
4. Appendix A - Identity Verification: Copies of identification documents as required by AML regulations
5. Appendix B - Statement of Financial Position: If relevant, details of the debtor's financial situation supporting the installment arrangement
Authors
Business Day
Commencement Date
Creditor
Debtor
Default
Due Date
Early Payment
Effective Date
Event of Default
Guarantor
Initial Payment
Installment Amount
Installment Payment
Interest Rate
Late Payment Fee
Original Debt
Outstanding Balance
Payment Date
Payment Method
Payment Schedule
Principal Amount
Secured Party
Security
Term
Total Amount Payable
Working Day
Default
Interest
Security
Early Repayment
Representations and Warranties
Acknowledgment
Authorization
Assignment
Dispute Resolution
Variation
Force Majeure
Notices
Privacy
Governing Law
Termination
Severability
Amendment
Entire Agreement
Direct Debit Authorization
Default Interest
Costs and Expenses
Confidentiality
Financial Services
Retail
Healthcare
Education
Professional Services
Construction
Manufacturing
Real Estate
Utilities
Telecommunications
Legal Services
Small Business
Finance
Accounts Receivable
Legal
Compliance
Credit Control
Collections
Customer Service
Risk Management
Operations
Administration
Credit Controller
Accounts Receivable Manager
Finance Manager
Financial Controller
Credit Manager
Collections Officer
Accounts Manager
Legal Counsel
Compliance Officer
Business Development Manager
Contract Administrator
Risk Manager
Chief Financial Officer
Debt Recovery Specialist
Customer Service Manager
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