PRE-AUTHORIZED PAYMENT PLAN (PAP): CANCELLATION/CHANGE

Please indicate which PAP Plan you are enrolled in (select all that apply):

Tax

Water

Name(s)

Phone Number:

How many properties are you cancelling/changing? (MAX 5 properties)

Property Address #1

Effective date of change/cancellation:

Authorizing Signature:

Date:

I hereby request the following change or cancellation to the Pre-Authorized Payment Plan:

Change

Cancellation

The reason for the Change/Cancellation is:

Bank information has changed

Property selling

Return to making payments independently

I Want To...