Payment Agreement

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PAYMENT AGREEMENT
Agreement made this _______ day of _______________________, __________.
BETWEEN
, doing
business at
(hereinafter referred
to as the “Landlord”) and
residing at
(hereinafter referred to as the
“Tenant”).
WITNESSETH
WHEREAS, the Landlord and the Tenant entered into a lease agreement dated
for Apartment Number
at
; and
WHEREAS, the Tenant has breached said lease agreement by failing to pay rent and
other charges.
1.
Tenant acknowledges being indebted to Landlord for $
as
follows:
A.
Legal Fees (preparation of Three Day Notice)
$
B.
Process Server (Three Day Notice)
$
C.
Rent for the Months of
$
D.
Late Charges for the Months of
$
E.
Bad Check Charges
$
TOTAL
$
2.
Tenant shall pay the above balance of $
at the offices of
Landlord in the form of a money order or certified funds as follows: $
per
month/week on the _______ day of each and every month/week commencing on
,
.
3.
If Tenant fails to pay the amounts owing as set forth in paragraph number two,
Landlord may commence eviction proceedings without further notice to Tenant.
A:61
This form provided free of charge from
74 Main St., PO Box 31, Akron, NY 14001, Phone: (716) 542-5444,

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