Agreement made this _______ day of _______________________, __________.
BETWEEN , doing business at (hereinafter referred to as the “Landlord”) and
residing at (hereinafter referred to as the “Tenant”).
WITNESSETH
WHEREAS, the Landlord and the Tenant entered into a lease agreement dated for Apartment Number at
; and
WHEREAS, the Tenant has breached said lease agreement by failing to pay rent and other charges.
1. Tenant acknowledges being indebted to Landlord for $ as follows:
A. Legal Fees (preparation of Three Day Notice) $ B. Process Server (Three Day Notice) $ C. Rent for the Months of $ D. Late Charges for the Months of $ E. Bad Check Charges $
TOTAL $
2. Tenant shall pay the above balance of $ at the offices of Landlord in the form of a money order or certified funds as follows: $ per month/week on the _______ day of each and every month/week commencing on , .
3. If Tenant fails to pay the amounts owing as set forth in paragraph number two, Landlord may commence eviction proceedings without further notice to Tenant.
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4. Simultaneously with the execution of this agreement, Tenant shall sign an Affidavit for Confession of Judgment. Said Affidavit will be filed with the court without prior notice to Tenant if Tenant defaults under this agreement.
5. Tenant acknowledges that he/she is satisfied with the condition of his/her apartment.
6. Tenant understands that this document is an attempt to collect a debt and any information obtained will be used for that purpose.
7. Tenant has read this agreement and understands its terms.
8. This agreement in no way limits or waives the conditions set forth in the lease agreement. The Tenant acknowledges that said lease agreement is still in full force and effect and is unmodified.
9. Tenant has no defenses or offsets to said lease agreement.
__________________________________________ Landlord
__________________________________________ Tenant
__________________________________________ Tenant
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LegalSurvival.com
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