ACKNOWLEDGEMENT OF DEBT

Dear Myhealthyway Clinic and Laboratory Corp,

I am writing this letter to formally acknowledge a debt that I owe to ____________________ in the
amount of ______. The purpose of this acknowledgment is to outline the terms of repayment and to
express my commitment to fulfilling this financial obligation.

I, Debtor, acknowledge that I owe the sum of [Amount] to ________________________________ This

debt arises from unpaid admission of the patients referred by me/our company and which was billed
from previous months and years. I understand the importance of resolving this matter promptly and
assure you of my sincere intent to repay the entire amount.

Terms of Repayment:

1. Total Amount: ________

2. Due Date: ________
3. Repayment Plan: _________
4. Interest Rate (if any): _______

I recognize the gravity of this financial obligation and am fully committed to meeting my responsibilities
in accordance with the terms outlined above. I understand that failure to adhere to the agreed-upon
terms may result in legal action or other consequences as outlined in our original agreement.

Please feel free to contact us at __________________ or via email at, and, if you have any questions or
concerns regarding this acknowledgment of debt. I am open to discussing any modifications to the
repayment plan should unforeseen circumstances arise.

Thank you for your understanding and cooperation in this matter.

Sincerely,