RENT ARREARS PAYMENT PLAN AGREEMENT
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Effective Date: ________________________________________________________
Place: _________________________________________________________________

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1. Parties to the Agreement
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This Agreement is entered into on ____________________ (____________________) by and between:

Landlord
Individual
Full Legal Name: _______________________________________________________
SSN / ID: ______________________________________________________________
Doc Series: ____________________________________________________________
Address: _______________________________________________________________
         _______________________________________________________________

Tenant
Individual
Full Legal Name: _______________________________________________________
SSN / ID: ______________________________________________________________
Doc Series: ____________________________________________________________
Address: _______________________________________________________________
         _______________________________________________________________

2. SUBJECT-MATTER SCHEDULE & SPECIFICATIONS
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Rented Property Address: _______________________________________________
Total Rent Arrears Owed: _______________________________________________
Installment Amounts and Due Dates:
    ____________________________________________________________________
Ongoing Rent Alongside the Plan:
    ____________________________________________________________________
What Happens if a Payment Is Missed:
    ____________________________________________________________________

3. EXECUTION & SIGNATURES
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Landlord

Signature: _____________________________________________________________

Full Legal Name: _______________________________________________________
Date: __________________________________________________________________

Tenant

Signature: _____________________________________________________________

Full Legal Name: _______________________________________________________
Date: __________________________________________________________________