Blue Ridge Property Management, LLC



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Payment Arrangement Agreement

Date:      

Property:      

Resident Name:      

Apartment Address:      

Forwarding Address:      

Total Balance: $     

Description of Payment Arrangement:      

The former resident named above agrees to make payments as described above. If a payment is missed or is not made in full, the account and remaining balance due will be immediately turned over to a National Credit Collection Agency and the appropriate Credit Bureau will be notified.

_________________________________________ __________________

Resident Signature Date

_________________________________________ __________________

Resident Signature Date

_________________________________________ __________________

Resident Signature Date

_________________________________________ __________________

Blue Ridge Property Management Representative Date

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