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.
R.I. Gen. Laws § 19-14.8-17