Acknowledgement of Debt
Debtor Name ("Debtor"): ________
Debtor Address: ________
Creditor Name ("Creditor"): ________
Creditor Address: ________
Debt Amount: $________ Australian dollars
The Debtor, ________, hereby acknowledges that the Debtor is indebted to the Creditor, ________, in the sum of $________ Australian dollars. The nature of the debt is as follows:
________
This acknowledgement is given to the Creditor, ________.
Signed:
...................................................
________
Dated:........................................
Acknowledgement of Debt
Debtor Name ("Debtor"): ________
Debtor Address: ________
Creditor Name ("Creditor"): ________
Creditor Address: ________
Debt Amount: $________ Australian dollars
The Debtor, ________, hereby acknowledges that the Debtor is indebted to the Creditor, ________, in the sum of $________ Australian dollars. The nature of the debt is as follows:
________
This acknowledgement is given to the Creditor, ________.
Signed:
...................................................
________
Dated:........................................
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