Payment Agreement. The agreement between you and Barracudas begins at the point where a payment is made, whether in part or full, and is when these booking conditions apply from. This agreement is with you, as the person who made the booking, and you are responsible for ensuring any parent/carer relating to this booking are aware of, and accept, these booking conditions.
Payment Agreement. The Landowner hereby agrees to repay the Assessment Amount according to the Repayment Schedule attached hereto as Exhibit B, with annual payment coupons provided by the County Treasurer. It is generally the intent of the parties that the Landowner will repay the Assessment Amount over the course of five years with an interest rate of five percent (5%) with said payment to be made in two, semi-annual installments each year. Payments will be applied first to interest and then to the outstanding Assessment Amount. This section is an express covenant within the meaning of IC 32-29-1-2 acknowledging that, in addition to the mortgage created by this agreement, Landowner will also be personally liable for repayment as described herein. If more than one Landowner has signed this Agreement, Landowner obligations are joint and several. County may proceed against any, all or, none of the Landowners at its discretion, in order to enforce its rights under this Agreement. Absent a written agreement to the contrary, transfer of the Real Estate securing this Payment Agreement shall not relieve Landowner of Landowner’s obligations under this Agreement.
Payment Agreement. I understand and agree that I am responsible for ALL charges for services that are not covered by Medicare, Medicaid, or other medical insurance programs or plans, public or private, under which I am entitled to benefits. I agree to provide PharmcareUSA all documents and other information necessary for PharmcareUSA to obtain direct payment from such third party payers. I agree to pay all deductible amounts and other charges not covered by the assignment of benefits. I agree to and understand that I can obtain specific information as it relates to medication charges by directly contacting my PharmcareUSA pharmacy and or requesting my specific medication charges via sending an inquiry to my pharmacy via the PharmcareUSA website at xxx.xxxxxxxxxxxx.xxx. I agree to pay a late fee of 1.5% on any balance not paid within 30 days. PharmcareUSA reserves the right at any time to discontinue services for any account with a past due balance. I understand that upon discharge from the assisted living facility, I may be responsible for payment of medications released to client/resident. I also agree to pay PharmcareUSA for all collection fees, attorney's fees, court costs, and other expenses involved in collecting any charges hereunder. The customer acknowledges that he has not rece ived any representations of promises concerning the pharmacy services or the terms of this agreement other that as set forth herein. As a resident of an assisted living facility I agree to allow the nurse/facility representative to sign/acknowledge receipt of all equipment or services including prescription medications as well as receipt of all Patient Education materials. This agreement shall be governed by and construed in accordance with the laws (other than the conflict law rules) of the state the servicing PharmcareUSA is located. PharmcareUSA may assign this agreement to any successor to PharmcareUSA's business. Resident Printed Name: Resident Signature Date _ / / Patient’s Agent or Representative Relationship to Patient (if resident unable to sign, Legal guardian, Representative Xxxxx, Relative, Representative of institution providing care or Assisting Governmental Agency) Please mail statement to Responsible Party – (Name) (Address)_ (Town) (State) (Zip Code)_
Payment Agreement. You are authorized to rely on the payment instructions set forth below until written notice believed by you in good faith to be genuine of any changes regarding such instructions is received by you. In addition, when so instructed, you may, but you are not required to, follow payment instructions which differ from the instructions set forth below with respect to specified transactions, provided, however, that only Client or a person with trading authorization over Client's account may authorize the transfer of funds to an account which is not in the name of the trust, estate, or guardian account established hereunder. PAYMENT INSTRUCTIONS: ________________________________________________________________________________ Name of Bank or Other Recipient: ________________________________________________________________________________ Address: ________________________________________________________________________________ Name of Account: ________________________________________________________________________________ Account Number: ________________________________________________________________________________ Contact Name and Telephone Number (if applicable): ________________________________________________________________________________ The following persons are among those authorized to transfer funds: ________________________________________________________________________________ ________________________________________________________________________________ BY SIGNING BELOW, CLIENT ACKNOWLEDGES RECEIPT OF A COPY OF THIS TRUST, ESTATE AND GUARDIAN ACCOUNT AGREEMENT. A PREDISPUTE ARBITRATION CLAUSE IS CONTAINED IN SECTION 12 HEREOF. ________________________________________________________________________________ SIGNATURE: DATE: /s/ John X. Xxxxxx 8/19/98 Trustee/Trustor ________________________________________________________________________________ Please Print Name: ________________________________________________________________________________ SIGNATURE: DATE: ________________________________________________________________________________ Please Print Name: ________________________________________________________________________________ SIGNATURE: DATE: ________________________________________________________________________________ Please Print Name: ________________________________________________________________________________ SIGNATURE: DATE: ________________________________________________________________________________ Please Print Name...
Payment Agreement. (a) By requesting us to establish a payment agreement, you have consented to us to using, disclosing and recording your details, including the account or PayID details you have provided to us, and the details of the payment agreement in the Mandate Management Service operated by NPP Australia Limited as a payment agreement creation request.
Payment Agreement. In consideration for certain project costs incurred by Contractor under this Agreement, Center shall compensate Contractor pursuant to the terms of the Payment Agreement, which is attached hereto as Attachment “C” and incorporated herein by this reference (the “Start-Up Payment Agreement”).
Payment Agreement. LESSEE further agrees to pay to the City on demand any and all sums, which may be due to the City for all required fees listed in this Lease Agreement, amenities/services listed in attachments, and special accommodations or materials as may be requested by LESSEE and approved by the City. All dues must be paid by a check, cash, money order or cashier’s check. Credit cards (only Visa and Master Card) are accepted only at our City Hall location.
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Payment Agreement. 1. As a courtesy to our clients, HCCC submits charges to contracted insurance plans. We are obligated to collect client responsibility amounts such as co-payment, co-insurance, deductible, and any non-covered services at the time of service. Sometimes, exact coverage cannot be determined until the insurance company receives the claim. Any overpayment will be applied as a credit to my account. If you prefer a refund, please contact the billing department for that request and to confirm mailing address to issue the refund.
Payment Agreement. (a) The Obligor, as primary obligor and not as surety, hereby agrees to fully and promptly pay to each Beneficiary the Guaranteed Amount when due to such Beneficiary under the applicable AWA Operative Document, but subject always to the provisions of Section 2.6. The foregoing payment obligation is made without prejudice to any right the Obligor may have to reject any AWA Operative Document in connection with any proceeding under Chapter 11 of the Bankruptcy Code in which the Obligor is a debtor; provided, however, that the Guaranteed Amounts include all amounts (including under Section 506(b) of the Bankruptcy Code) which would become due but for the operation of the automatic stay under Section 362(a) of the Bankruptcy Code, and the operation of Section 502(b)(2) of the Bankruptcy Code.
