By submitting this application I agree to pay the balance (amount owed) on my account and also agree to keep current on my payment plan. I understand that payments are due by the 29th of each month. My account will be charged a late fee per my Association’s governing documents and a collection fee (of up to $25) each month until I am paid in full. 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.

This form will be reviewed and a letter will be mailed back to you indicating whether or not you are approved. Submitting a request for a payment plan does not mean it will be approved by the Board of Directors of your Homeowners Association.  If you are approved the letter you receive will state the amount due each month and a paid-in-full date.