1. Please complete this form to request a waiver of any late fees, interest and/or fines that have been billed to your account. Assessments are the personal responsibility of the owner; however, extenuating circumstances occur, which will be considered on a case by case basis.
2. Considerations for waiver requests will not be considered more than once per 12 month period. Alliance Bank posts payments within 48 hours of receipt and the received date is the consideration for the due date.
3. Please include and attach any pertinent information and/or supporting documentation. All determinations will be final by the Board of Trustees.
Only completed waiver requests will be considered
Only completed waiver requests will be considered
Step 1
Complete the Waiver Request.
Type, Save & Attach below
Step 2
Email the completed document to Accounts Receivable by attaching it to the email link below.
Nicole Wolford
8000 Walton Pkwy. Suite 250
New Albany, Ohio
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