Payment Agreement

This Payment Agreement (the "Agreement") is entered into on Date (the "Effective Date").

1. Parties

Creditor

• Full legal name: Company name
• Registered address: Address
• CVR/ID No.: CVR

Debtor

• Full legal name: Company name
• Registered address: Address
• CVR/ID No. / CPR No.: CVR

The Creditor and the Debtor are each a "Party" and together the "Parties".

2. Background

2.1 Outstanding Amount

The Debtor acknowledges that it owes the Creditor the amount of Number Currency (the "Outstanding Amount").

2.2 Basis of Debt

The Outstanding Amount arises from Description.

2.3 Repayment Plan

The Parties wish to establish a structured repayment plan.

3. Payment Terms

3.1 Schedule

The Debtor shall repay the Outstanding Amount as follows:

• Number Currency due Date
• Number Currency due Date
• Number Currency due Date

OR

• Number Currency starting Date

3.2 Payment Account