Common Contracts
1 similar Repayment Agreement contracts
ContractRepayment Agreement • August 3rd, 2017
NOTICE DATE: NAME AND ADDRESS OF AGENCY/CENTER OR DISTRICT OFFICE CASE NUMBER CIN NUMBER CASE NAME (And C/O Name if Present) AND ADDRESS GENERAL PHONE NO. FOR QUESTIONS OR HELP OR Agency Conference Record Access Legal Assistance information OFFICE NO. UNIT NO. WORKER NO. UNIT OR WORKER NAME PHONE NO. COMPROMISE: Your request for a compromise of your overpayment has been: AcceptedDeniedModified as follows: REPAYMENT AGREEMENT: Your request to establish a repayment agreement has been: AcceptedDeniedModified as follows: Your payment of $ must be received within the next 30 days of this notice and you must continue to send the monthly payment so that the payment reaches us by the 10th of each month or $ on and if the payment schedule is bi-weekly until your debt is paid in full. If your payment has not been received by the last day of the month, you will immediately become delinquent and your debt will be referred for collection. Your payment means that you acce
