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ACH Application
PRINT OUT THIS FORM AND FILL IN THE BLANKS

Association Name
 
Association Account/Lot #
Name
Address
City, State Zip
Phone


Account Holder Signature

Please return your signed application and voided check to:

GRG Management, Inc.
PO Box 1186
Carlsbad, CA 92018-1186

Submit by the 15th of the month in order to take effect in the next billing period.

Please keep a copy of this for your records.



Continue to mail your monthly payment until you have received written confirmation that your application has been received and processed. Please allow 45 to 60 days for processing your request.

Your account must be in current status (owing only the current period to be eligible). If your account is more than 15 days delinquent, your application will not be accepted until your account is brought current.

Written requests to change banks or to discontinue your ACH payments must be received by the 15th of the month to take effect the following month.

A dishonored ACH payment (e.g., non-sufficient funds) will automatically cancel ACH on your account. Requests to re-start ACH after a cancellation will be subject to a $5.00 reinstatement fee.

It is the homeowner's obligation to report any of the following changes:

  • Your account is closed/frozen for ANY reason.
  • You have opened escrow and/or are considering selling your home.

Please do not submit a new application or contact our office to update annual assessment changes. GRG Management will automatically update your monthly assessment amount annually per your Association's fiscal year budget.


For Internal Use Only

Date Received
                                                   Amount
Date ACH to Begin Posted by Pre Note

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