PAYMENT PLAN REQUEST FORM

Your Contact Information

Your Email address is required to provide confirmation that your request was successfully received.

In addition to mail, check "Yes" if you would like to receive the requested information via Email:
YesNo

Subject Property Information

The 6-digit Alterra File No. can be found on any Alterra letters regarding this account.

Payment Plan Information

I hereby request to be considered for a payment plan whereby I will pay back the entire delinquent balance (including all applicable late fees, interest, past due assessments, assessments which come due during the pendency of the plan, attorneys’ fees and collection costs) over the following number of months:

Please select the number of months you are requesting: *
3 months6 months9 months12 months
We suggest requesting the shortest term possible to increase the likelihood that your association will approve the requested payment plan.

Please enter the amount of the good faith Down Payment you will make upon approval of the payment plan: *
(% of the Delinquent Amount owed): 25%50%
While a Down Payment of 25% will be considered, we suggest offering a Down Payment of 50% to increase the likelihood that your association will approve the requested payment plan.

Please enter comments for your Association's Board to consider in determining whether to approve your requested payment plan*

Upon the association's approval of the requested payment plan, I will remit the sum indicated above as a good faith partial payment to be applied to my delinquent account. I hereby acknowledge that this partial payment does not represent full settlement of my account and that acceptance of the payment by the association or any of its agents does not constitute any waiver by the association, and will be made pursuant to the terms and conditions of a written agreement prepared by Alterra. I hereby acknowledge that acceptance of this partial payment by the association or any of its agents does not necessarily mean that my proposed payment plan has been accepted.

By clicking on the Submit Request button, I understand that any payment plan requested by me shall not be effective until approved by the association and confirmed in a written agreement prepared by Alterra and forwarded to me by mail at the mailing address provided in this Form. I further understand and acknowledge that the association is under no obligation to extend or approve any payment plan requested by me. In consideration for any payment plan approved by the association, I will incur any and all additional attorneys’ fees and costs for the preparation of the payment plan, as well as fees and costs that may be imposed for monitoring the payment plan if and when it becomes effective.
Upon completion of the review of my file, if it is determined by the association and/or Alterra that a payment plan has been approved, I may be contacted via Email, telephone and/or mail at the telephone number(s) / address provided in this form in order to finalize the specific terms of the payment plan. I expressly acknowledge that neither the association nor Alterra are obligated to enter into a payment plan, nor are they obligated to contact me regarding same. I understand that requesting a payment plan will not result in the cessation of collection efforts.
I hereby acknowledge that Alterra and its affiliates do not represent me in this or any other legal matter and have provided no legal advice to me regarding same. If I have questions of a legal nature surrounding the collection of my account, I must contact my own attorney.