List your name, account information, the original creditor of the debt, and the debt collection agencies identifying information. All settlements (absent prior agreement) will utilize the applicable Sample Releases below.Your letter might be 20-30 pages long if your claim is complex. Use this letter to help you negotiate a full and final settlement offer with a creditor. Please be aware that forms will be displayed in a NEW browser window. Honorable Timothy C. Evans, Chief Judge. Your full name used on the account; Your full address; Any account numbers or reference numbers that are linked to your account. If you fill out a form on a webpage, you will lose your progress. The process can take years to complete.