Management Company Name:
Home Owners Association Name:
Account Number:
Are you already in contact with Stonehenge Trustees Services:
Yes
No
The undersigned hereby declares that the owner(s) of the real property located as described below (the 'Property') is/are delinquent in the payments of amounts due to the above-described Homeowners Association (the 'Client') as of: Month:
January
February
March
April
May
June
July
August
September
October
November
December
Date:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year:
Homeowner Name
Subject Property Street Address
Mailing Address
Current Accounting Ledger:
Current Association Collection Policy:
Special and Reimbursement Assessments:
Please read this infromation
I have read and understand the information contained on this page and in the Delinquent Assessment Collection Agreement and agree.
2920 Camino Diablo, Suite 150, Walnut Creek, CA 94597
Telephone 925-935-9339 · FAX 925-935-9033
Stonehenge Trustee Services is a debt collector and any information it obtains will be used for that purpose
