Payment Agreement printable pdf download

Payment Agreement

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

; and

WHEREAS, the Tenant has breached said lease agreement by failing to pay rent and

other charges.

Tenant acknowledges being indebted to Landlord for $

follows:

Legal Fees (preparation of Three Day Notice)

Process Server (Three Day Notice)

Rent for the Months of

Late Charges for the Months of

Bad Check Charges

TOTAL

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

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,

Payment Agreement