I am the owner of the above referenced property and understand my obligation to pay the annual assessment as outlined in the Covenants, Conditions, and Restrictions (Deed Restrictions) for my Community Association. Since I am not able to pay the full amount at this time, I submit this request for approval of a Payment Installment Plan. I understand the plan must be completed within the requested time period, if approved. I understand that a $25.00 NSF fee will be applied to my account if my payment is returned due to insufficient funds. I understand that I may not be approved for payment plan if I have defaulted on prior payment plans (Please enter your name below if you agree). *