[Your name and address]
[Landlord’s or agent’s name and address]
Re: Payment of arrears at [your address]
I am aware that I am currently in $[amount] of rent arrears at the above premises and am in receipt of your termination notice.
I am aware that I am currently in $[amount] owing in (water usage charges) or (utility charges).
I propose to pay these arrears off at $[amount] [per week/fortnight] on top of my usual rent. I will continue paying this extra amount until the arrears are paid off.
In good faith, I enclose a cheque for this amount as the first payment. [Delete if not applicable]
If this is acceptable to you I ask that you confirm this in writing with me and inform the NSW Civil and Administrative Tribunal that a hearing is no longer required.
If you would like to discuss this further please contact me on [phone number].