EIV Repayment Agreement - NHE Inc



NHE, Inc.

EIV REPAYMENT AGREEMENT

Property Name

Resident Name

Apt # Date of Lease

Total Assistance Overpayment: $

I, hereby agree to pay the owner/agent the Total Assistance Overpayment. I understand that I must repay this amount pursuant to paragraph __________of the Lease because I submitted incorrect certification or recertification information to management resulting in an overpayment of assistance by HUD as shown in the chart below.

|MONTH |AMOUNT PAID |AMOUNT OWED |DIFFERENCE |

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|TOTAL |$2,176 |$3,460 |$1,284 |

I hereby agree to repay the Total Assistance Overpayment according to the following schedule:

|RENT |RETRO PAYMENT |TOTAL DUE |DATE DUE |

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1. I understand that I have months to repay the Total Assistant Overpayment.

2. I understand that the terms of the agreement will be renegotiated if there is a decrease or increase in our household’s income of $200 or more per month.

3. I understand that late and missed payments constitute default of the repayment agreement and may result in termination of assistance and/or tenancy with the entire balance becoming due and payable immediately.

4. I understand that should payment of the balance become necessary and I fail to remit the balance, eviction proceedings may be enacted immediately based on Paragraph 23 of the Lease.

5. I understand that I must deliver each payment on or before its due date to the Management Office located at . These payments are in addition to the monthly rent due under paragraph 3 of the Lease.

I have read this agreement and fully understand my obligation to repay the Assistance Overpayment.

Resident Date

Manager Date

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