PROMISSORY NOTE

7/19/2010
Date
UNITED I, Erin Elliott, Lessee of 1203-M Forest Oak Lane, Suffolk, VA 23434, agree to pay my
PROPERTY past due balance of $355.50 in the manner indicated below:
ASSOCIATES

I wish to pay the balance due at the rate of $      per month payable on the 1st of each
month to be included with my regular monthly rent payment until the balance is paid in
full.
525 SOUTH
INDEPENDENCE BLVD.
SUITE 200 OR
VIRGINIA BEACH
VIRGINIA
23452-1103 I wish to make the following payments: Four (4) monthly payments as follows: $88.88
(757) 497-5752
FAX
on August 15, 2010/$88.88 September 15, 2010/$88.88 on October 15, 2010 and final
(757) 497-9133 payment $88.86 on November 15, 2010.
WATS
(800) 578-9722

♦
I understand that this payment plan requires that I pay all future rent and water fees on
739 time as dictated in my lease agreement. I understand that if I do not abide by this payment
THIMBLE SHOALS BLVD.
SUITE 1003 plan exactly as detailed herein, the entire balance becomes due and payable immediately
NEWPORT NEWS
VIRGINIA
and is subject to the terms of my lease agreement for collection and possession in the
23606-3562 General District Court.
(757) 873-1185
FAX
(757) 873-8907 ___________________________________ ________________________
♦ Lessee’s Signature Date
6550
TOWN POINT RD. ___________________________________
SUITE 113
SUFFOLK
Address
VIRGINIA
23435
(757) 484-0706
___________________________________ ________________________
FAX Property Name and Number Manager’s Signature
(757) 484-3217

103 COMMONWEALTH OF VIRGINIA;

BULIFANTS BLVD. CITY OF ___________________, to wit:
SUITE A
WILLIAMSBURG
VIRGINIA
23188
The foregoing instrument was acknowledged before me this _____ day of ____________,
(757) 345-5383 20___ by _______________________.
FAX
(757) 345-5385 (Lessee’s Name)
My
♦
commission expires: ______________
SPECIALISTS IN __________________________
THE MANAGEMENT
OF APARTMENTS • Notary Public Notary Number:
HOUSES • CONDOMINIUM ____________________
AND HOMEOWNER
ASSOCIATIONS
This is a request for a payment agreement and must be approved by
♦
United Property Associates. This promissory note, once approved
www.unitedproperty.org and in effect, is contingent upon the regular monthly rental
payments being paid in full and on time.
Regional: ________________________________ Date: ______________________