Form for LMR to set up an HOA payment for you

Name:*
Property Address:*
E-mail:*
Phone:*
-
Date of FIRST payment:*

Payments must be made in the same way as they are assessed (for example: if your dues are charged quarterly - you can NOT make monthly payments or you would be delinquent)

One Time or Reoccuring:*
AMOUNT AUTHORIZED FOR DRAFTING
 $ 
 . 
For Reoccuring pmts - please draft on ______ day (between the 4th and 15th)
Bank Routing Number (9 digits):*
Bank Account Number:*
Question / Concerns:

Once you click submit, it will be received by our office. We will confirm receipt and confirm the action has been completed within one day.

Please do not submit multiple forms. Thank you!