[Brian Griffin]

I suggest:

NYC HOUSING ASSISTANCE LEGAL AGREEMENT

I do hereby agree to reimburse the City of New York for the cost of housing assistance provided to me (and my family) and to pay all associated costs of recollection plus interest on the above at the rate of 18% APR.

PRINTED NAME

SIGNATURE

USCIS CASE NUMBER(S)

ID NUMBER(S)

FINGERPRINTS

[Spktyr]

That’s the fun part - NYC isn’t legally allowed to do that by their own laws.