Payment Plan Request

ALL INQUIRIES SURROUNDING THE COLLECTION OF YOUR DELINQUENT ACCOUNT SHOULD BE MADE IN WRITING. IN AN EFFORT TO ASSIST YOU, THIS FORM MAY BE UTILIZED BY YOU TO REQUEST A PAYOFF / ESTOPPEL FIGURE. PLEASE READ THE ENTIRE FORM AND PROVIDE ALL NECESSARY INFORMATION SO THAT YOUR REQUEST MAY BE PROPERLY PROCESSED.

THIS LAW FIRM IS DEEMED A "DEBT COLLECTOR" UNDER THE FAIR DEBT COLLECTION PRACTICES ACT. WE ARE ATTEMPTING TO COLLECT A DEBT, AND ANY INFORMATION OBTAINED WILL BE USED FOR THAT PURPOSE.

Your Contact Information

Name:*

Mailing Address:*

City:*

State:*

Zip Code:*

* Required Field

Home Telephone:

Work Telephone:

Cell Telephone:

Fax Number:

Email Address:*

In addition to mail, click on the check box(es) above to indicate how else you would like to receive the requested information?

Fax Number Email

The Property Information

Unit Owner/Former Unit Owner:*

Association Name:*

Property Address:*

Unit no.:*

City:*

State:*

Zip Code:*

McCabe Law Group Reference No.:

Although the McCabe Law Group Reference No. is not required, providing it would help us process your request quickly and can be found on any of the McCabe Law Group letters regarding this account.

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 costs) over the following number of months:

Please select the number of months you are requesting.

3 Months 4 Months 5 Months 6 Months

Upon approval of the requested payment plan, I will remit the sum indicated to the right 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 partial payment by the Association or any of its agents does not constitute an estoppel, novation or waiver of any kind. 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.

Please enter the amount of the good faith payment you will make upon approval of the requested payment plan.

By clicking on the Submit 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 McCabe Law Group and forwarded to me by mail at the mailing address appearing at the bottom of the website. I further understand and acknowledge that the association is under no obligation to extend or approve any payment plan requested by me. Finally, 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.

Upon completion of the review of my file, if it is determined by the association and/or McCabe Law Group that a payment plan has been approved, I may be contacted via E-Mail, 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 McCabe Law Group 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 McCabe Law Groupatz does not represent me in this or any other legal matter and has 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.