To apply for the Payment Plan you can download the Payment Plan Request form. You should complete this form and bring it to the Administrative Building for processing or you can submit the Payment Plan Request form online by filling out and submitting the form below.

    Payment Plan Request

    Owner's Name:

    Property Address:

    FCCSA Account #:

    Phone Number:

    Email:

    Current Balance:

     

     

     

     

     

     

     

     

    I, , am the owner of the above referenced property and understand my obligation to pay the amount shown plus administrative, interest, and collection fees as outlined in the FCCSA Collections Policy. Since I am not able to pay the full amount at this time, I submit the following installment plan (consecutive monthly payments only):

    Payment

    Date to Pay

    Amount to Pay

    #1

    #2

    #3

    #4

    **Note: Interest Fees &Administrative fees will accrue monthly to your account per FCCSA Collections Policy

    Interest at a rate of 10% per annum (.833 per month) is charged the last day of each month to all accounts that have unpaid assessments. Owners are responsible for any interest that accrued during the length of the payment plan.

    A monthly administrative fee of $15.00 is also applied to all unpaid assessments. If the terms of the approved payment plan have been met the monthly administrative fee will be reduced to $0.00.

    If for any reason I cannot strictly adhere to the above schedule, I understand that I will be responsible for any administrative fees and/or interest that has been applied to my account during the terms of my payment plan. First Colony Community Services Association may elect to pursue legal proceedings to collect the amount due under the terms of the FCCSA Collections Policy.

    If I meet the terms of this payment plan, I understand that First Colony Community Services Association, Inc. agrees to suspend any further legal actions against me to collect the amount owed. When my account balance is zero ($0.00) and my property is in good standing, I understand that First Colony Community Services Association will release any maintenance fee liens and/or judgments that may have been filed against me or the above referenced property.

    Owner's Signature:

    Date:

    THIS PAYMENT PLAN IS NOT VALID UNTIL IT IS REVIEWED AND SIGNED BY FCCSA. WE WILL PROVIDE YOU A COPY OF THE FINAL DECISION FOR YOUR RECORDS. PLEASE READ PAYMENT PLAN POLICY FOR COMPLETE TERMS OF AGREEMENT.