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RESTRICTIVE ENDORSEMENT NOTICE

(Attach check to this A&S after sending 15-day letter)

Certified Mail # (Enter Number) (Your Full Name) (Street Address), (City, State & Zip) (Name of Creditor) (Address) (City, State & Zip) Date: Account Number(s): To Whom It May Concern, This attached letter is to confirm that you have accepted, based on your non-objection to a 15day restrictive endorsement notice, an offer of Accord & Satisfaction concerning the above noted account. Upon endorsement of the attached payment instrument, you hereby agree to the following terms: The check attached in the amount of $(Enter Amount), represents full and final payment; and, You, upon endorsement and deposit of said lump sum payment, and upon commencement of bank clearance of funds from such payment, agree to delete any negative items being reported to the 3 major credit bureaus within 30 days; and mail me written notice of such deletion; and, You, upon receipt of lump sum payment, agrees to report a new account to all 3 major credit bureaus as PAID AS AGREED, with no late-payments or derogatory comments whatsoever, within 30 days; and, And, last but not least, you also hereby agree to cease all collection or legal activity on said extinguished account. Sincerely, Signature

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