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Direct Pay Application
If you would like to enroll in our Direct Pay program, complete the following Secure form and click submit. You will receive confirmation of your Direct Pay authorization and the month that your first Direct Pay payment will be taken automatically.
Account Information
Association Name:
Address 1:
Address 2:
City:
State:
Zip Code:
Phone:
Home
Cell
Work
Phone:
Home
Cell
Work
Email:
Banking Information
Financial Institution Name
Address:
City:
State:
Zip Code:
Phone Number:
Financial Account Number:
Type of Account:
Checking
Savings
Institution Routing Number:
Direct Pay Terms & Conditions Stop Payments Stop payments can be issued up to three days prior to your payment date. As with checks, you are responsible for any charges associated with the stop payment. You may be required to provide written confirmation of the stop payment to your financial institution. Please contact Park Management and Realty, Inc. if you have requested a stop payment. Record of Payment Your monthly bank statement will indicate the amount and date of your automatic transfer. Retain this record as proof of payment for future reference regarding your billing. If a question arises regarding your transfer or if the amount differs from your bill, you must immediately notify us, and your financial institution. Your financial institution will advise you of rights concerning an error. Availability of Funds You are responsible for having enough money in the account you designated on your payment date. You are responsible for any fees associated with non-sufficient funds. Direct Pay may be cancelled if two payments are returned within a 12-month period. A fee of $25.00 will be charged to your account for returned payments. Payment Date You will be notified prior to your first payment. The predetermined amount will be transferred from your designated account on the date your payment is due or within the first business week of the month. If your payment date falls on a weekend or holiday, your account will be debited on the following business day. Termination Your authorization will remain in effect unless we receive written notice from you to terminate service. Requests for termination may take up to 30 days to process. Association and/or Management reserve the right to terminate service at any time. Account/Address Change Submit a new application 1 month before using a new bank account and submit address changes as soon as possible for uninterrupted billing. Authorized Signature By submitting this form, you are authorizing Park Management and Realty, Inc. to initiate debit entries for the amount due on your Assessment account to your financial institution account listed on this form. You acknowledge that the origination of ACH transactions to your account must comply with the provisions of U.S. law.
© Copyright 2008 Park Management & Realty, Inc.