Assessment Payment Plan Request
Please use this form to request a payment plan from your board of directors. Please remember your account will remain in delinquent status (subject to late charges, interest, liens and all other remedies listed in your governing documents) until the account is current. The board of directors will consider payment plan history when deciding if legal action is necessary.

Name of Member:*
Your e-mail address:*
Property Address:*
Property City, State and Zip:*
Community Name:*
Amount of Payment:*
Payment Frequency:*
Number of Payments:*
Comments:
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