This template is flexible: customize the payment schedule to match the customer's circumstances, add interest only if permitted by your contract, and set a clear default trigger so the customer knows the consequences of missed payments.
The agreement
Payment Plan Agreement
**PAYMENT PLAN AGREEMENT**
This Agreement is made between:
**Creditor (Service Provider):**
- Name: [Your Name / Company Name]
- Address: [Your Address]
- Phone: [Your Phone]
- Email: [Your Email]
**Debtor (Customer):**
- Name: {{customer_name}}
- Business Name (if applicable): [Customer Business Name]
- Address: [Customer Address]
- Phone: [Customer Phone]
- Email: [Customer Email]
---
**1. OUTSTANDING DEBT**
The Debtor acknowledges owing the Creditor a total amount of **{{total_amount}}** arising from:
- Invoice Number(s): {{invoice_numbers}}
- Original Invoice Date(s): {{invoice_dates}}
- Original Due Date(s): {{original_due_dates}}
- Amount Outstanding as of [Date]: {{total_amount}}
---
**2. PAYMENT SCHEDULE**
The Debtor agrees to pay the outstanding debt by installment as follows:
**Payment 1:** {{payment_1_amount}} due {{payment_1_date}}
**Payment 2:** {{payment_2_amount}} due {{payment_2_date}}
**Payment 3:** {{payment_3_amount}} due {{payment_3_date}}
[Continue as needed for additional installments]
**Final Payment:** {{final_payment_amount}} due {{final_payment_date}}
**Total Schedule Duration:** [Number] months, from [Start Date] to {{final_payment_date}}
**Payment Method:**
Payments should be made to:
- [Payment details: bank account, check address, or payment portal]
- Reference: Invoice {{invoice_numbers}} or this Agreement date
---
**3. INTEREST OR ADDITIONAL FEES**
{{interest_clause}}
---
**4. CONDITIONS OF THIS AGREEMENT**
This agreement is conditioned on:
- Debtor making all payments on or before their due dates
- Debtor maintaining communication and promptly notifying Creditor of any payment difficulties
- No additional invoices being submitted by Creditor unless previously agreed in writing
- Debtor remaining current on any other obligations to Creditor
---
**5. DEFAULT**
If the Debtor fails to make any payment within **5 business days** of the due date:
- The Creditor may consider this agreement breached and may pursue immediate collection of the full remaining balance (no further installments permitted)
- The Debtor may be liable for collection costs, attorney fees (where permitted by law), and recovery agency fees
- The matter may be referred to a collections agency or attorney
- The Debtor's credit rating may be adversely affected
- Interest or late fees may accrue on the remaining balance at the rate specified in Section 3
---
**6. MODIFICATION**
No modification of this agreement is valid unless made in writing and signed by both parties. Either party wishing to renegotiate (e.g., adjust payment amounts, dates, or frequency) must request in writing.
---
**7. GOVERNING LAW**
This agreement is governed by the laws of [Your Jurisdiction]. Disputes arising from this agreement shall be resolved [by negotiation / mediation / in the courts of [Your Jurisdiction]].
---
**8. ENTIRE AGREEMENT**
This agreement constitutes the entire understanding between the parties regarding this debt and supersedes all prior communications or agreements on the subject.
---
**SIGNATURES**
By signing below, both parties acknowledge they have read this agreement, understand its terms, and agree to be bound by it.
**Creditor:**
Signature: _________________________ Date: _____________
Print Name: _________________________
Title: _________________________
**Debtor:**
Signature: _________________________ Date: _____________
Print Name: _________________________
Title (if business entity): _________________________
---
*This agreement is intended to formalize an arrangement between the parties. It should be retained by both parties as evidence of the agreed payment schedule and default terms.*Key provisions to customize
Make sure to fill in or adapt these sections for your situation:
- Total debt amount and original invoice reference
- Specific payment schedule with individual due dates and amounts
- Interest or late-fee terms (if any) accruing during the payment plan
- Default trigger (payment missed by X days) and consequences (full balance due, collection referral, attorney fees)
- Requirement for payment method and reference
- Signature line for both creditor and debtor
Before you send
After signature
Once both parties have signed the agreement:
- Send a fully signed copy to the customer and keep one for your records. File it with all correspondence on the account.
- Set internal reminders for each payment due date so you can follow up immediately if a payment is missed.
- If a payment is missed and falls outside your default window (e.g., more than 5 days late), send a formal notice that the agreement is breached and the full balance is now due.
- If the customer requests to modify the schedule, get the request in writing and document any agreed changes as an amendment.