Fill and Sign the Indiana Unpaid Form

AGREEMENT FOR PAYMENT OF UNPAID RENT This Agreement for Payment of Unpaid Rent (hereinafter “Payment Agreement”) is entered into this ___ day of _______________, 20___, by and between Lessor ______________________________ (hereinafter "Landlord"), and Lessee(s) ______________________________, ______________________________, ______________________________, and ______________________________ (hereinafter collectively referred to as "Tenant"), are jointly, severally and individually bo und by, and liable under, the terms and conditions of this Payment Agreement. For the valuable consideration described below, the sufficiency of which is hereby a cknowledged, Landlord and Tenant do hereby covenant, contract and agree as follows: 1. Tenant acknowledges and admits that rent due on Tenant’s lease is owing, but unpaid, and that, as of the ___ day of _______________, 20___, in the current amount due and owing is as follows: [$ _______________: Rent] + [$ _______________: Applicable late charges] = [$ _______________: Total balance due] 2. In consideration of Landlord’s agreement not to terminate Tenant’s Lease Agreement and evict Tenant on the basis of Tenant’s non -payment of rent, Tenant agrees to pay the entire above stated balance, according to the following schedule: 3. While paying the unpaid balance as discussed above, Tenant agrees to pay in full any futur e rent that becomes due, unless other provisions are made here: 4. Tenant agrees that Tenant’s failure to fully and specifically comply with the above li sted conditions for payment will result the breach of this Payment Agreement, and Landlord will have the option to terminate the Lease Agreement and evict Tenant on the basis of non-payment of rent. OTHER THAN DISCUSSED HEREIN, THE TERMS AND CONDITIONS OF THE OPERATIVE LEASE AGREEMENT BETWEEN LANDLORD AND TENANT REMAIN IN FULL FORCE AND EFFECT. * * * WITNESS THE SIGNATURES OF THE PARTIES: Landlord, or authorized agent: _______________________________________________ Dated: ________ Tenant: ___________________________ Print name: ____________________________ Dated: ________ Tenant: ___________________________ Print name: ____________________________ Dated: ________ Tenant: ___________________________ Print name: ____________________________ Dated: ________ Tenant: ___________________________ Print name: ____________________________ Dated: ________