What is the Arrearage Payment Agreement for?

It records a resident’s payment schedule for charges incurred at the Village of Sand Lake and remains in effect until the account balance is paid in full.

What information does the agreement ask for?

It asks for the resident’s name, address, phone number, account number, balance due, payment amount and frequency, and payment date.

Do I need a notary for the Arrearage Payment Agreement?

No. The resident and Village Clerk or Village Treasurer sign and date this agreement; it does not call for a notary.

Sand Lake, MI · Kent County

No notary required

Arrearage Payment Agreement

Sand Lake residents use this agreement to set a payment schedule for charges on an account with a balance due to the Village.

What this form is

This agreement records a resident’s plan to pay charges incurred at the Village of Sand Lake until the account balance is paid in full. It asks for the resident’s name, address, phone number, account balance, payment amount and frequency, and payment date. The resident and a Village Clerk or Village Treasurer sign and date the agreement.

Who needs it

A Sand Lake resident with a past-due Village account who is arranging scheduled payments can complete this agreement.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This agreement is signed without a notary; the resident and Village Clerk or Village Treasurer sign and date it.

How to submit this form

1
Download The Agreement
Download the Arrearage Payment Agreement PDF.
2
Complete The Agreement
Enter your resident and account details, payment amount and frequency, and the date you will pay.
3
Check For Attachments
The agreement does not list any attachments.
4
Sign And Submit
Sign and date the agreement, then submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What is the Arrearage Payment Agreement for?: It records a resident’s payment schedule for charges incurred at the Village of Sand Lake and remains in effect until the account balance is paid in full.
What information does the agreement ask for?: It asks for the resident’s name, address, phone number, account number, balance due, payment amount and frequency, and payment date.
Do I need a notary for the Arrearage Payment Agreement?: No. The resident and Village Clerk or Village Treasurer sign and date this agreement; it does not call for a notary.
How do I submit the Arrearage Payment Agreement?: Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Arrearage Payment Agreement doesn’t need a notary — but Michigan residents can notarize other documents online with a commissioned online notary.