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Debt Acknowledgment Form
I, ________, hereby confirm and acknowledge that I owe an individual, named ________, the following amount of money: $________ (________).
I further acknowledge that there are no defenses to the amount owed or any credits or set-offs against the amount owed.
________ shall be authorized to enter any confessions of judgment where permitted by law against me for the amount owed.
I hereby promise to pay the entire amount listed herein by the ________.
EXECUTION:
Name Of Debtor: ________
_____________________________
Signature
_____________________________
Date
State of Alabama
County of: ______________________________
__________________________________________________________________
Notary Signature, Printed Name, and Notary/Bar Roll Number
Name Of Creditor: ________
_____________________________
Signature
____________________________
Date
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