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FRO-004E (2018/02) © Queen's Printer for Ontario, 2018 Disponible en français Ministry of Community and Social Services Family Responsibility Office PO Box 200, Station A Oshawa ON L1H 0C5 Voluntary Arrears Payment Schedule (VAPS) Proposal I would like to enter into a Voluntary Arrears Payment Schedule (VAPS) with the Family Responsibility Office (FRO) FRO Case Number Last name (as written in the support order) First name (as written in the support order) Middle Name(s) My arrears balance is: $ As of this Date (yyyy/mm/dd) Call FRO’s automated line at 416-326-1818 or 1-800-267-7263 to get your current arrears balance. Tip: You will need your seven-digit FRO Case Number and your six-digit PIN when you call. I would like to propose the following payment plan to pay the arrears. I propose to pay an extra: $ Daily Weekly Bi-Weekly Bi-Monthly Monthly Quarterly Semi-Annually Annually In addition to my regular payment of: $ Daily Weekly Bi-Weekly Bi-Monthly Monthly Quarterly Semi-Annually Annually If the current support obligation is to pay monthly, your proposal should be the same frequency. Terms and Conditions By signing this VAPS proposal, I understand and agree to the following: I will honour the payment terms of the VAPS. If I do not honour the VAPS, FRO may cancel it without notice to me and take the necessary steps to collect all arrears owing. I understand FRO may cancel or renegotiate the VAPS if: FRO receives a new court order the Support Recipient claims additional arrears not covered by the VAPS my income increases significantly FRO has the authority to collect additional amounts towards the arrears, including my income tax refund, funds received from a Writ or Seizure and Sale or any other windfall (for example lottery winnings). If I have a Pre-Authorized Debit (PAD) payment method already in place, I agree it will be changed in accordance (to match) with this VAPS amount once accepted by FRO. I have attached my sworn financial statement and proof of income (see financial statement for requirements). Suite/Unit/Apartment Number Street Number Street Name City Province/State Postal Code/Zip Code Cellular Number (Including Area Code) Home Number (Including Area Code) Work Number (Including Area Code) Other Number (Including Area Code) Email address Current Employer Name Payroll Contact Name Telephone number (Including Area Code) Signature of Support Payor Date (yyyy/mm/dd)

Voluntary Arrears Payment Schedule (VAPS) Proposal · Title: Voluntary Arrears Payment Schedule \(VAPS\) Proposal Author: FRO Subject: Voluntary Arrears Payment Schedule \(VAPS\)

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FRO-004E (2018/02) Queen's Printer for Ontario, 2018 Disponible en franais

Ministry of Community and Social Services Family Responsibility Office PO Box 200, Station A Oshawa ON L1H 0C5

Voluntary Arrears Payment Schedule (VAPS) Proposal

I would like to enter into a Voluntary Arrears Payment Schedule (VAPS) with the Family Responsibility Office (FRO)

FRO Case Number

Last name (as written in the support order) First name (as written in the support order) Middle Name(s)

My arrears balance is: $ As of this Date (yyyy/mm/dd)

Call FROs automated line at 416-326-1818 or 1-800-267-7263 to get your current arrears balance. Tip: You will need your seven-digit FRO Case Number and your six-digit PIN when you call.

I would like to propose the following payment plan to pay the arrears.

I propose to pay an extra: $

Daily Weekly Bi-Weekly Bi-Monthly

Monthly Quarterly Semi-Annually Annually

In addition to my regular payment of: $

Daily Weekly Bi-Weekly Bi-Monthly

Monthly Quarterly Semi-Annually Annually

If the current support obligation is to pay monthly, your proposal should be the same frequency.

Terms and Conditions

By signing this VAPS proposal, I understand and agree to the following:

I will honour the payment terms of the VAPS. If I do not honour the VAPS, FRO may cancel it without notice to me and take the necessary steps to collect all arrears owing. I understand FRO may cancel or renegotiate the VAPS if:

FRO receives a new court order the Support Recipient claims additional arrears not covered by the VAPS my income increases significantly

FRO has the authority to collect additional amounts towards the arrears, including my income tax refund, funds received from a Writ or Seizure and Sale or any other windfall (for example lottery winnings).

If I have a Pre-Authorized Debit (PAD) payment method already in place, I agree it will be changed in accordance (to match) with this VAPS amount once accepted by FRO.

I have attached my sworn financial statement and proof of income (see financial statement for requirements).

Suite/Unit/Apartment Number Street Number Street Name

City Province/State Postal Code/Zip Code

Cellular Number (Including Area Code) Home Number (Including Area Code) Work Number (Including Area Code)

Other Number (Including Area Code) Email address

Current Employer Name Payroll Contact Name Telephone number (Including Area Code)

Signature of Support Payor Date (yyyy/mm/dd)

Voluntary Arrears Payment Schedule (VAPS) Proposal

FRO-004E (2018/02) Queen's Printer for Ontario, 2018

Disponible en franais

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Voluntary Arrears Payment Schedule (VAPS) Proposal

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Government of Ontario

Ministry of Community and Social Services

Family Responsibility Office

PO Box 200, Station A

Oshawa ON L1H 0C5

Voluntary Arrears Payment Schedule (VAPS) Proposal

I would like to enter into a Voluntary Arrears Payment Schedule (VAPS) with the Family Responsibility Office (FRO)

My arrears balance is:

Call FROs automated line at 416-326-1818 or 1-800-267-7263 to get your current arrears balance.

Tip: You will need your seven-digit FRO Case Number and your six-digit PIN when you call.

I would like to propose the following payment plan to pay the arrears.

I propose to pay an extra:

In addition to my regular payment of:

If the current support obligation is to pay monthly, your proposal should be the same frequency.

Terms and Conditions

By signing this VAPS proposal, I understand and agree to the following:

I will honour the payment terms of the VAPS. If I do not honour the VAPS, FRO may cancel it without notice to me and take the necessary steps to collect all arrears owing. I understand FRO may cancel or renegotiate the VAPS if:

FRO receives a new court order

the Support Recipient claims additional arrears not covered by the VAPS

my income increases significantly

FRO has the authority to collect additional amounts towards the arrears, including my income tax refund, funds received from a Writ or Seizure and Sale or any other windfall (for example lottery winnings).

If I have a Pre-Authorized Debit (PAD) payment method already in place, I agree it will be changed in accordance (to match) with this VAPS amount once accepted by FRO.

8.0.1291.1.339988.308172

FRO

FRO

Voluntary Arrears Payment Schedule (VAPS) Proposal

FRO

Voluntary Arrears Payment Schedule (VAPS) Proposal

As of this Date.Enter date in format: year: 4 digits, month: 2 digits, day: 2 digits. Or select date from the drop down calendar (press down arrow to open the calendar, use the arrow keys to navigate by keyboard). This field is mandatory.

Signature Date.Enter date in format: year: 4 digits, month: 2 digits, day: 2 digits. Or select date from the drop down calendar (press down arrow to open the calendar, use the arrow keys to navigate by keyboard)

CurrentPageNumber: NumberofPages: saveForm: Print: Print2: Reset: TextField1: initFld: FRO Case Number.: Last name (as written in the support order). : First name (as written in the support order). : Middle Name(s). : My arrears balance is: : date: I propose to pay an extra:: In addition to my regular payment of. Daily.: In addition to my regular payment of. Weekly.: In addition to my regular payment of. Bi-Weekly.: In addition to my regular payment of. Bi-Monthly.: In addition to my regular payment of. Monthly.: In addition to my regular payment of. Quarterly.: In addition to my regular payment of. Semi-Annually.: In addition to my regular payment of. Annually.: In addition to my regular payment of:: Terms and Conditions. I have attached my sworn financial statement and proof of income (see financial statement for requirements). : 0Suite/Unit/Apartment Number.: Street number.: Street Name. : City.: Province/State.: Postal code/Zip Code.: Cellular Number (Including Area Code).: Home Number (Including Area Code).: Work Number (Including Area Code).: Other Number (Including Area Code). : Email address.: Current Employer Name.: Payroll Contact Name.: Telephone number (Including Area Code).: Signature of Support Payor.: