Payment Plan Request
YOUR REQUEST FOR PAYING YOUR PROPERTY OWNERS ASSOCIATION ASSESSMENT IN INSTALLMENTS IS NOT CONSIDERED AN APPROVED PAYMENT PLAN UNTIL IT IS SIGNED BY A REPRESENTATIVE OF CH&P MANAGEMENT ON BEHALF OF THE ASSOCIATION. 

UPON APPROVAL, YOU WILL RECEIVE NOTIFICATION CONFIRMING THAT YOUR REQUEST HAS BEEN APPROVED. IF ACCEPTED, WE WILL CONTACT YOU TO ASSIST YOU IN  SETTING-UP AUTOMATIC PAYMENTS FOR A SUCCESSFUL PAYMENT PLAN AGREEMENT.  IF DENIED, WE WILL REFUND YOUR PAYMENT PLAN FEE. 
Sign in to Google to save your progress. Learn more
Email *
Subdivision *
Owner Name (First and Last, must match account) *
Account Number (view at the top right portion of your invoice, this also your Section-Block-Lot number)
Property Address *
Mailing Address *
Phone Number *
Current Balance *
Payment Plan Fee *
Length of Payment Plan *
Due Date of Each Month *
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). *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of CHP Management, LLC.. Report Abuse