PAST TENANT DEBT AGREEMENT FORM
This is an agreement to pay off past tenant debt between Triangle Housing
Association Ltd and
(Name)___________________________________________________________ of
(Current Address)_____________________________________________________
(Previous THA Address) ________________________________________________
Past Tenant Arrears are
£_______________ as at ________________
Past Tenant Legal costs are
£_______________ as at ________________
Past Tenant Recoverable Repairs are £_______________ as at ________________
I, __________________________ agree to pay £_______________ per week by
All Pay / Direct Debit (delete as appropriate).
My debt should be paid off by _________________________.
I understand that should I fail to keep to this agreement, this document may be used
as evidence in a Court of Law.
Signed:
__________________________
__________________________
Dated:
__________________________
__________________________
Witness:
____________________________
(On behalf of Triangle Housing Association Ltd)
Dated:
Reference
____________________________
H3-11-1
Issue Date: August 2008