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NEW YORK STATE OFFICE OF TEMPORARY AND DISABILITY ASSISTANCE 40 NORTH PEARL STREET ALBANY, NY 122430001 David A. Paterson Governor Administrative Directive Section 1 Transmittal: To: Issuing Division/Office:
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How to fill out 09-adm-17 utility repayment agreementdoc:

01
Begin by carefully reading the document and understanding its purpose. The 09-adm-17 utility repayment agreementdoc is typically used by individuals who have fallen behind on their utility payments and need to establish a repayment plan with the utility company.
02
Fill out your personal information accurately. This may include your full name, address, contact information, and utility account number. Double-check the information to ensure its accuracy.
03
Provide the details of your outstanding utility debt. This may include the specific amount owed, the dates of missed payments, and any additional fees or charges that have been incurred.
04
Review the repayment options available and select the one that suits your financial situation. These options may include a lump sum payment, monthly installments, or a modified payment plan based on your income.
05
If necessary, provide supporting documents such as proof of income or financial hardship. This may help in negotiating a more manageable repayment plan.
06
Carefully review the terms and conditions of the agreement. Pay attention to any interest rates, late fees, or penalties that may apply. Seek clarification if there is anything you do not understand.
07
Sign and date the agreement to acknowledge your commitment to repay the outstanding debt. Ensure that you understand the consequences of failing to adhere to the agreed-upon repayment terms.
08
Retain a copy of the completed agreement for your records and submit the original document to the utility company as instructed.

Who needs 09-adm-17 utility repayment agreementdoc:

01
Individuals who have fallen behind on their utility payments and need to establish a repayment plan with the utility company.
02
Those who want to ensure a fair and transparent agreement is in place to settle their outstanding utility debt.
03
People who are seeking to avoid further penalties, credit issues, or potential service discontinuation due to non-payment.
04
Individuals who want to take responsibility for their utility debt and work towards fulfilling their financial obligations.
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It is a document outlining the terms and conditions for repaying utility expenses.
Individuals or entities who have incurred utility expenses that need to be repaid.
The document must be filled out with the relevant details of the utility expenses and a repayment plan.
The purpose is to establish an agreement for the repayment of utility expenses.
Details of the utility expenses incurred and the terms of repayment.
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