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The agreement explains consequences of failing to sign, pay the amount due, or comply with the terms, and references possible service termination. It also covers alternative terms for financial hardship, options for utility bill assistance, and procedures to return the signed form with a down payment. Includes payment of outstanding balance, Budget Billing Plan terms, and an Asset Check List to evaluate the customer’s ability to 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Lee","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-11-04","2026-09-16",true,{"@type":98,"interactionType":99,"userInteractionCount":20},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What happens if the customer does not sign the deferred payment agreement or does not pay by the due date?","Question",{"text":108,"@type":109},"If the customer does not sign the agreement or pay the total amount due by the stated date, Meadow Manor Holdings LLC may seek to terminate service.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"How does the Budget Billing Plan determine the monthly payment amount?",{"text":113,"@type":109},"The plan requires equal monthly payments based on an estimate of annual billing, calculated from average monthly consumption multiplied by current commodity price estimates over a 12-month 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Holdings LLC for this account as of MM/DD/YYYY is $XX.XX.  \nMeadow Manor Holdings LLC is required to offer a payment agreement that you are able to pay consideringyour financial circumstances.This agreement should not be signed if you are unable to keep the terms.Alternate terms may be available if you can demonstrate financial need.Alternate terms may include no downpayment and payments as low as $10 per month above your current bills.If you sign and return this form,along with the down payment by MM/DDYYYY you will be entering into a payment agreement and bydoing so will avoid termination of service.  \nAssistance to pay utility bills may be available to recipients of public assistance or supplemental securityincome from your local social services office.This agreement may be changed if your financial circumstanceschange significantly because of conditions beyond your control.If after entering into this agreement,you fail tocomply with the terms,Meadow Manor Holdings LLC may terminate service.If you do not sign thisagreement or pay the total amount due of $XX.XX by MM/DD/YYYY,Meadow Manor Holdings LLC may seekto terminate your service.If you are unable to pay these terms,if further assistance is needed,or if youwish to discuss this agreement please call Meadow Manor Holdings at 718-302-0008  \n## Payment of Outstanding Balance:\n\nYour current monthly budget amount is:$XX.XX  \nIf you are not already enrolled in our Budget Billing Program,which allows you to pay for your service in equalmonthly installments,and wish to enroll,check the box below and we will start you on our programimmediately.  \n[Yes!I would like Budget Billing  \n## Acceptance of Agreement:\n\nCustomer  \nSignature:  \nDate:  \nThis agreement has been accepted by Meadow Manor Holdings LLC.If you and Meadow Manor Holdings LLCcannot negotiate a payment agreement,or if you need any further assistance,you may contact the PublicService Commission at 1-800-342-3377.  \nReturn one copy of this agreement signed,with the down payment,by MM/DD/YYYY.If it isnot signed and returned,your service may be terminated.  \n## Asset Check List\n\nCONFIDENTIALEvaluation of Customer's Ability To Pay  \n1.Empioyer Name,Address and Phone Number  \n\n|  |\n| --- |\n| 2.What is your monthly income?__   |\n\n3.Please identify all other forms of income(Unemployment,Disability,and Public Assistance)and the amounts of each                                                                      \n4.Please list allchecking and savings accounts and balances:  \n5.Please list all credit cards,balances due and the amount of the monthly payment on each:  \n6.Do you own your home or do you rent?                      \n7.What is your monthly mortgage or rent payment?                                  \n8.List other assets(i.e.,Stocks and Bonds):  \n9.List other debts (bank loans,credit lines,utility bills,etc.)and the amount of the monthly payment on each:  \n………  \nt411tr  \n……  \n10.Identify all other monthly expenditures by amount:—Food expenses—Medical expenses_Telephone bils—Utility bills  \n\n|  |\n| --- |\n| $_____   |\n| $____   |\n|  |\n| $___   |\n|  |\n| $______   |\n|  |\n|  |\n\n  _  \n__  \n___  \n—Mandatory loan/credit card payments—Other  \n_____  \n## BUDGET BILLING PLAN(\"Plan\")\n\n                     A             管院身再E   220                              \nCustomer Name:                           Address:Account\\#  \nUnder this Plan,Meadow Manor Holdings LLC agrees to provide services in return for your agreement to makepayments according to the terms of this Plan.  \nThis Plan requires that you pay$XX.XX per month for the 12 month period starting with the biling cyclecommencing on MM/DD/YYYY and ending on MM/DD/YYYY.  \nSuch equal monthly payment is based on an estimate of your annual billing,which has been calculated bymultiplying the average monthly consumption by the current estimate of commodity prices over the above-ref","cbCailXTfVmHMYI4","https://ap.wps.com/l/cbCailXTfVmHMYI4","pdf",168218,8,"English","# Payment of Outstanding Balance\n## Acceptance of Agreement\n## Asset Check List\n## BUDGET BILLING PLAN(\"Plan\")\n## HEFPA Quarterly Billing Plan(\"Plan\")","[{\"question\":\"What happens if the customer does not sign the deferred payment agreement or does not pay by the due date?\",\"answer\":\"If the customer does not sign the agreement or pay the total amount due by the stated date, Meadow Manor Holdings LLC may seek to terminate service.\"},{\"question\":\"How does the Budget Billing Plan determine the monthly payment amount?\",\"answer\":\"The plan requires equal monthly payments based on an estimate of annual billing, calculated from average monthly consumption multiplied by current commodity price estimates over a 12-month period.\"},{\"question\":\"What does the Asset Check List require the customer to provide?\",\"answer\":\"The customer must report monthly income, other income sources and amounts, checking and savings accounts and balances, credit cards and balances due, home ownership and monthly mortgage/rent, other assets, other debts, and monthly expenditures.\"}]","Deferred Payment Agreement - Payment Agreement and Budget Billing Plan | PDF",1789586629]