Appendix G:  Sample Repayment Plan (after court case is filed)
STATE OF INDIANA	)	__________________________ COURT 
	) SS:
COUNTY OF _________	)	CAUSE NO. _____________________ 

	)
Plaintiff,	)
	)
vs.	)
	)
Defendant.	)

SETTLEMENT AGREEMENT AND REPAYMENT PLAN

	The above-named Tenant and Landlord/Owner enter into the following agreement to permit the Tenant to repay past due rent. 
Defendant acknowledges, understands and consents to each of the following statements (Please initial each):
	 I have an absolute right to a hearing in front of the Court; to receive and review copies of Plaintiff’s evidence; and question Plaintiff’s witnesses.
	 Plaintiff has the burden/responsibility of proving the case against me. I have the right to dispute liability, amount of the claim, amount of attorney’s fees, amount of interest, or any other claims made by Plaintiff against me.
	 If I go to trial and disagree with the Court’s decision, I will have 30 days from the judgment date to appeal the Court’s decision to the Indiana Court of Appeals. However, by signing this Agreed Entry, I am waiving my appeal rights, and waiving the right to pursue any defenses or counter-claims I may have against Plaintiff.
	 If the Agreed Entry provides for an “Agreed Judgment”, information about the judgment will likely become a part of my credit/rental history. Accordingly, prior to signing the Agreed Entry I have a right to present any questions to the Court.
	 I understand and agree that I am: 1) waiving my right to present my case to the Court; 2) under no pressure to enter into the Agreed Entry; 3) signing the Agreed Entry as my free and voluntary act; and 4) required to provide the Court with written notice of any changes in my address to facilitate service of future pleadings, notices and issued orders. 
Terms of agreement:
The Tenant and Landlord/Owner agree that the past due amount to be repaid consists of:  
□  	rent: $			, 
□	late fees: $			,
□	other penalties: $			, and  
	Please provide description of other penalties: ____________________
□	other: $			 
Please provide description: _______________________________

for a grand total of $________________. 

	Tenant agrees to pay $			 each MONTH / WEEK or BI-WEEKLY (circle one) beginning on ______				, 20__, until the above total is repaid in full. Tenant further agrees to keep current on rent due pursuant to the lease terms. In addition, Landlord/Owner agrees not to file a claim for possession for possession of Tenant’s rental property based on the past due amount above unless: (1) Tenant defaults on the Repayment Plan, and (2) Landlord/Owner has provided Tenant with a ten (10) day notice to bring payments current under the Repayment Plan. 
	Tenant may tender payments under this Repayment Plan in the following way(s): 
																																							
If there is a failure to comply, parties may file an action before the court. 
I understand that future modifications must be agreed to by both parties in writing, signed and dated to be enforceable. Agreed modifications do not need to be filed with the court unless there is a dispute.
Tenant and Landlord/Owner enter into this agreement freely and voluntarily, under his/her/their own will and volition. 

Tenant							Landlord/Owner

													
Printed Name						Printed Name

Date							Date