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Finance & Administrative Services <br />131 W Margaret Lane, Suite 300 <br />Hillsborough, NC 27278 <br />Page 2 of 5 <br />Orange County Billing General Terms and Conditions <br />Version Date 07/07/23 <br />REPAYMENT PLAN. The Customer agrees to repay the Total Amount to the County <br />under the following: (check one) ☐ - Weekly Payments. The Customer agrees to repay the County a <br />payment of $[AMOUNT] on the [DAY] of each week until the Balance and <br />any applicable interest are repaid in full. <br /> <br />☒ - Monthly Payments. The Customer agrees to repay the County a <br />payment of ($83.33 per property) $166.66 on the 1st of each month until <br />the Balance and any applicable interest are repaid in full. <br /> ☐ - Lump Sum. The Customer agrees to repay the County, in full, on the <br />date of [DATE]. <br /> ☐ - Other. [OTHER] <br /> <br />PAYMENT INSTRUCTIONS. The Customer is required to pay the County under the <br />following payment instructions: [DESCRIBE] <br /> <br />LATE PAYMENT. If the County receives payment more than 5 days beyond the <br />day payment is due, payment is late. If a payment is late, the Customer may be: <br />(check one) <br />☒ - Charged a Late Fee. The Customer may be charged a late fee. <br /> <br />☐ - Not Charged a Late Fee. The Customer shall not be charged a late <br />fee. <br /> <br />SECURITY. As part of this Agreement, the Customer agrees to: (check one) ☐ - Pledge Security. The Customer agrees to secure this Agreement by <br />pledging the following collateral: [DESCRIBE] (“Security”). <br /> <br />In the event the Customer defaults under this Agreement, the County shall <br />obtain possession of the Collateral equal to the amount owed of which a <br />sale may be required. <br /> <br />☒ - Not Pledge Security. This Agreement shall not be secured by any <br />property or asset of the Customer. <br /> <br /> <br /> <br />DocuSign Envelope ID: 9D6310B2-1C81-4AD7-80E9-4B5237EBBDB4