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
Utah Code § 13-42-117