Hood & Stacy, P.A. | Settlement Offer

P.O. Box 271, Bentonville, AR 72712Toll Free: (877) 551-3377info@hoodandstacy.com8:00 am - 5:00 pm (Central Time)

Settlement Offer Form

This is an amount that you would like to offer our client as payment in full on your account. This offer is not yet accepted by our client. Please do not make payment until we advise that it has been accepted. If accepted, the amount will need to be paid in full to our office in one installment. We will advise you of the deadline for payment. If payment is not received in our office by that time, the full balance will become due, less any partial payment applied.

Authorization: I understand that this offer of settlement or proposal for a payment plan is not effective until Hood and Stacy, P.A., communicates acceptance of my offer or proposal. In addition, I understand that if my offer or proposal is accepted, that all payments must be made in the agreed amount, and must be received by Hood and Stacy, P.A., by their due date, or Hood and Stacy, P.A., at its option, can declare the settlement offer or payment proposal withdrawn. In that event, the full remaining balance will be due, and any payment made on the account thereafter will be applied against the full balance.

By submitting the form below I agree to the following:

I agree to allow you to communicate with me about my account.
Your firm may contact me by email regarding this matter.

Upon submission of this form a response to your request/offer will be sent in 3-5 business days.

This is a communication from a debt collector. This is an attempt to collect a debt. Any information obtained will be used for that purpose.

Fieldset

Name *
Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Email *
Phone *
Amount you are offering as a lump sum settlement: $ (Enter dollars and cents)
Additional Information or Comments

Verification

Please enter any two digits *Example: 12
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We collect information from you when you register on our site, fill out a form or make an online payment. When ordering or registering on our site, as appropriate, you may be asked to enter your name, e-mail address, mailing address, phone number, credit card information, social security number or bank account information. If you do not agree to be bound by the terms and conditions of use please immediately exit this webpage.

Any of the information we collect from you may be used in one of the following ways: To process transactions- Your information, whether public or private, will not be sold, exchanged, transferred, or given to any other company for any reason whatsoever, without your consent, other than for the express purpose of delivering the purchased product or service requested. To assist in collecting debts- Your information, whether public or private, may be used for debt collection purposes.

We implement a variety of security measures to maintain the safety of your personal information when you enter, submit, or access your personal information. We offer the use of a secure server. All supplied sensitive/credit information is transmitted via Secure Socket Layer (SSL) technology and then encrypted into our Database to be only accessed by those authorized with special access rights to our systems, and are required to keep the information confidential. After a transaction, your private information (credit cards, social security numbers, financials, etc.) will be kept on file for more than 60 days in order to allow you to easily access your account to make future payments. We do not sell, trade, or otherwise transfer to outside parties your personally identifiable information. This does not include trusted third parties who assist us in operating our website, conducting our business, or servicing you, so long as those parties agree to keep this information confidential. We may also release your information when we believe release is appropriate to comply with the law, enforce our site policies, or protect ours or others rights, property, or safety.

This online privacy policy applies only to information collected through our website and not to information collected offline. By using our site, you consent to our website’s privacy policy. If we decide to change our privacy policy, we will post those changes on this page. If you have any questions about our privacy policy or practices please contact us toll free at (877) 551-3377.

This communication is from a debt collector. The debt collector is attempting to collect a debt and any information obtained will be used for that purpose.

Updated and effective as of 1/1/2021