# Payor Agreement Contract
**This Payor Agreement ("Agreement") is made and entered into as of the [Date], by and between:**
**1. Parties**
- **Payor:** [Full Name/Company Name]
Address: [Address]
Phone: [Phone Number]
Email: [Email Address]
- **Payee:** [Full Name/Company Name]
Address: [Address]
Phone: [Phone Number]
Email: [Email Address]
**2. Purpose**
This Agreement outlines the terms and conditions under which the Payor agrees to make payments to the Payee for services rendered or goods provided as described in Section 3.
**3. Services/Goods Provided**
- Description of Services/Goods: [Detailed description of services or goods provided by the Payee]
- Service Contract Number (if applicable): [Contract Number]
**4. Payment Terms**
- Total Amount Due: [Total Amount]
- Payment Schedule:
- [Payment due date]
- [Installments, if applicable]
- Method of Payment: [Accepted payment methods: cash, check, bank transfer, etc.]
- Late Payment Fees: [Specify any late fees or penalties for overdue payments]
**5. Term of Agreement**
This Agreement shall commence on the date first written above and shall continue until all obligations have been fulfilled unless terminated earlier in accordance with Section 7.
**6. Confidentiality**
Both parties agree to keep all terms of this Agreement and any confidential information obtained from the other party during the term of this Agreement private and not disclose it to any third party without prior written consent.
**7. Termination**
- Either party may terminate this Agreement by providing [number] days written notice to the other party.
- Upon termination, Payor shall pay for all services or goods rendered prior to termination.
**8. Governing Law**
This Agreement shall be governed by and construed in accordance with the laws of the State of [State].
**9. Miscellaneous**
- **Amendments:** This Agreement may be amended only in writing signed by both parties.
- **Entire Agreement:** This Agreement constitutes the entire understanding between the parties regarding the subject matter herein and supersedes all prior discussions and agreements.
**IN WITNESS WHEREOF**, the parties hereto have executed this Payor Agreement as of the day and year first above written.
______________________________
**Payor Signature**
**Name:** [Print Name]
**Title:** [If applicable]
**Date:** [Date]
______________________________
**Payee Signature**
**Name:** [Print Name]
**Title:** [If applicable]
**Date:** [Date]
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**Note:** This template serves as a basic structure for a payor agreement. For more tailored legal documents, it is recommended to consult with a legal professional.