Debt Division Agreement

Parties

Party 1 Name:
Party 2 Name:
Date of Agreement:

Description of Debt(s)

Creditor Name:
Total Amount Owed:
Account Number (if any):
Other Details:

Division of Debt

The Parties agree to divide the above-described debt(s) as follows:
Party 1 Responsibility:
Party 2 Responsibility:

Additional Terms

Signatures

Party 1 Signature
Date:
Party 2 Signature
Date: