Arrears Repayment Agreement - NRH
ARREARS REPAYMENT AGREEMENT (Current Tenant/Member)
I, __________________________________________________________________
residing at __________________________________________________________
acknowledge that arrears in the amount of $________________ are owed as of
(insert date).
I agree to make repayment of the arrears owing as follows:
In addition to the amount of my monthly rent/housing charge, I will pay an amount of $_______________. This repayment agreement will begin on (insert date) and will continue on the first day of each month thereafter, until the arrears are paid in full.
I understand that failure to comply with this agreement will be reported to the Board of Directors and may result in:
(1) the termination of my tenancy/membership, and/or
(2) the placing of my account into the hands of a collection agency for the recovery of all monies owed by me and/or
(3) ineligibility for future rent-geared-to-income assistance.
SIGNED: ___________________________________________________________
Tenant/Member(s) Date
SIGNED: ___________________________________________________________
Tenant/Member(s) Date
SIGNED: ___________________________________________________________
Housing Provider Representative Date
cc: tenant/member file
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