|
Please fill out this form to request a payment plan for your account balance and your request will be sent to your Board of Directors for review.
|
| Association Name: | * |
| Name: | * |
| Association Address: | * |
| City: | * |
| Zip Code: | * |
| Phone Number: | * |
| Email Address: | * |
| Reason/Payment Terms Requested: | * |
By submitting this form, I agree to pay all future HOA charges while also keeping current on my payment plan. I understand that my payments must be received by the agreed upon date in order to be eligible to continue on a payment plan. I understand the Association will pursue legal action to collect the debt if I default on this payment plan. I acknowledge and understand this is an attempt to collect a debt, and any information obtained will be used for that purpose.
Submittal of this form does not constitute approval by your Homeowners Association. Once this request is reviewed, we will contact you by mail or phone indicating whether or not you are approved and the terms set forth.
|
| I understand and agree to the above terms: | * |
* indicates required field
|
