© Copyright Envision Corporation. 2002. All rights reserved.

Protected by the copyright laws of the United States & Canada and by International treaties. IT IS
ILLEGAL AND STRICTLY PROHIBITED TO DISTRIBUTE, PUBLISH, OFFER FOR SALE, LICENSE OR SUBLICENSE, GIVE OR DISCLOSE TO ANY OTHER
PARTY, THIS PRODUCT IN HARD COPY OR DIGITAL FORM. ALL OFFENDERS WILL BE SUED IN A COURT OF LAW.

AGREEMENT TO EXTEND DEBT PAYMENT

©

C
o This Agreement to Extend Debt Payment (the “Agreement”), is made and effective [EFFECTIVE DATE],
p
y BETWEEN: [CREDITOR NAME] (the "Creditor") a corporation organized and existing under
r the laws of the [STATE/PROVINCE], with its head office located at:
i
g
h AND: [DEBTOR NAME] (the "Debtor") a corporation organized and existing under the
t laws of the [STATE/PROVINCE], with its head office located at:

E
n
v FOR VALUE RECEIVED, the undersigned, Creditor and Debtor, hereby acknowledge and agree that:
i
s
i 1. The Company presently owes the Creditor the sum of [AMOUNT], said sum being presently due and
payable.
o
n
2. In further consideration of the Creditor's forbearance, the Debtor agrees to pay said debt on
extended terms in the manner following:
C
o [DESCRIBE]
r
p 3. In the event the Debtor fails to make any payments punctually on the agreed extended terms, the
o Creditor shall have full rights to proceed for the collection of the entire balance then remaining.
r
a 4. This agreement shall be binding upon and inure to the benefit of the parties, their successors, assigns
and personal representatives.
t
i
o Signed under seal this [DATE].
n
.
DEBTOR CREDITOR
2
0
0
2 Authorized Signature Authorized Signature
.

A Print Name and Title Print Name and Title

l
l

r
i

Agreement to Extend Debt Payment Page 1 of 1