Descrição: _________________________
Motivo: _____________________________
_______________________________________
_______________________________________
_______________________________________
Valor Original: ______________________
Valor de juros: ______________________
Valor total: __________________________
Valor referente à quantas parcelas?
___________________________________________
Existem mais parcelas em atraso???
___________________________________________
Se sim quantas?
____________________________________________
Já existe algum acordo?
____________________________________________
Se sim qual?
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
Se não, como pretende pagar?
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
Já é possível executar esse plano?
_____________________________________________
Se não, o que você precisa fazer
para executá-lo?
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
Outras observações
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
Descrição: _________________________
Motivo: _____________________________
_______________________________________
_______________________________________
_______________________________________
Valor Original: ______________________
Valor de juros: ______________________
Valor total: __________________________
Valor referente à quantas parcelas?
___________________________________________
Existem mais parcelas em atraso???
___________________________________________
Se sim quantas?
____________________________________________
Já existe algum acordo?
____________________________________________
Se sim qual?
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
Se não, como pretende pagar?
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
Já é possível executar esse plano?
_____________________________________________
Se não, o que você precisa fazer
para executá-lo?
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
Outras observações
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
Descrição: _________________________
Motivo: _____________________________
_______________________________________
_______________________________________
_______________________________________
Valor Original: ______________________
Valor de juros: ______________________
Valor total: __________________________
Valor referente à quantas parcelas?
___________________________________________
Existem mais parcelas em atraso???
___________________________________________
Se sim quantas?
____________________________________________
Já existe algum acordo?
____________________________________________
Se sim qual?
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
Se não, como pretende pagar?
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
Já é possível executar esse plano?
_____________________________________________
Se não, o que você precisa fazer
para executá-lo?
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
Outras observações
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
