Set-up fee | ______________________________________ |
dollar amount of fee | |
Monthly service fee | ______________________________________ |
dollar amount of fee or method of determining amount | |
Settlement fee | ______________________________________ |
dollar amount of fee or method of determining amount |
Goods and services in addition to those provided in connection with a plan:
_______ | ______________________________________ |
(item) | dollar amount or method of determining amount |
_______ | ______________________________________ |
(item) | dollar amount or method of determining amount |
IMPORTANT INFORMATION FOR YOU TO CONSIDER
______________________________________
Name and business address of provider
IMPORTANT INFORMATION FOR YOU TO CONSIDER
______________________________________
Name and business address of provider
IMPORTANT INFORMATION FOR YOU TO CONSIDER
Hurt your credit rating or credit scores;
Lead your creditors to increase finance and other charges; and
Lead your creditors to undertake activity, including lawsuits, to collect the debts.
______________________________________
Name and business address of provider
NRS 676A.520