Request Manager

Hello

This form is here to provide assistance with owners who require a payment plan to prevents collections activity. Upon receipt the payment plan will be sent to the association for review, modify and/or approval.

The association will confirm any approved payment plan via this form and/or email that must be confirmed by the owner.

Please see the additional requirements below:

Please submit your payment plan request here
All payment plan must be submitted in writing via this form, email, mail, fax
- info@akmpm.com
- 1020 Park Drive #314, Flossmoor, IL 60422
- 708-949-5001 (Fax)

No verbal payment plan requests will be recognized by the association

Payment Plan Request

Name

Cell/Phone

Address

Association Name

What is the reason for the payment plan request?

What frequency would you like to pay balance due?

Amount

Please provide the exact payment amounts and when the payments will be made here?

Request Confirmation

Please confirm that the above request is accurate and true and that you understand that your requested payment plan is subject to association approval and the request may be modified by the association for acceptance by you?

Yes

Disclaimers

1. The association nor AKMPM will follow up on an approved payment plan. It is the responsibility of the owner to make the payments based on the approved submitted payment plan by the association. Any Checks/Money orders) must be received when due

2. Failure to adhere to the payment plan or communicate with the association could lead to automatic placement of your account with the associations law firm

Please confirm, by checking the box "YES," that you have read the above disclaimers and understand the terms for any approved payment plan

Yes

Optional Attachments

Maximum File Sizes: 4 MB each

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