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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