Debtor Payment Arrangement – The Cook Law Office

Debtor Payment Arrangement

In order to begin settlement negotiations, please fill out the form below. All required fields must be completed for the offer to be submitted.

"*" indicates required fields

Defendant(s) Name*

First

Middle

Last

Suffix

Last 4 of Social Security Number

Case Number

Current Debtor Mailing Address*

Street Address

City

State / Province / Region

ZIP / Postal Code

Country

Contact Phone Number*

Contact Email Address*

Current Employer Name*

Current Employer Address*

Street Address

City

State / Province / Region

ZIP / Postal Code

Country

Monthly Payment Due Date*

Monthly Payment Offer Amount

Lump Sum Payment Date (Due within 30 days)*

Lump Sum Offer Amount

Special terms offered

Questions

This is an attempt to collect a debt and any information obtained will be used for that purpose. This communication is from a debt collector.

DISCLAIMER: The use of or interaction with this Web site does not constitute or create an attorney-client relationship, and the information herein is not intended as legal advice. Tennessee law requires that we inform you that this is an advertisement, and a person reading this Web site should seek the advice of independent legal counsel and not rely on the information contained herein.

The determination of the need for legal services and the choice of a lawyer are extremely important decisions and should not be based solely upon advertisements, certification, specialization or self-proclaimed expertise. Certifications of specialization are available to Tennessee lawyers in all areas of practice relating to or included in the areas of Civil Trial, Criminal Trial, Business Bankruptcy, Consumer Bankruptcy, Creditor’s Rights, Medical Malpractice, Legal Malpractice, Accounting Malpractice, Elder Law, Estate Planning and Family Law. Listing of related or included practice areas herein does not constitute or imply representation of certification of specialization. This web site is designed for general information only. The information presented at this site should not be construed to be formal legal advice nor the formation of a lawyer/client relationship

You should consult an attorney for advice regarding your unique needs. We invite you to contact us and welcome your calls, letters and electronic mail. Contacting us does not create an attorney-client relationship. Please do not send any confidential information to us until such time as an attorney-client relationship has been established.