======================================================================== [ASSOCIATION NAME] — ASSESSMENT INVOICE Free template from The HOA Guide — thehoaguide.com ======================================================================== Invoice number: __________ Invoice date: __________ ASSOCIATION INFORMATION Name: __________ Address: __________ Phone: __________ Email: __________ Management company (if applicable): __________ ------------------------------------------------------------------------ OWNER INFORMATION ------------------------------------------------------------------------ Owner name: __________ Property address: __________ Lot / Unit number: __________ Account number: __________ ------------------------------------------------------------------------ ASSESSMENT DETAILS ------------------------------------------------------------------------ Assessment period: __________ Regular assessment amount: $__________ Prior balance (from previous period): $__________ Payments received since last invoice: - $__________ Other charges (specify): __________ $__________ ___________ TOTAL AMOUNT DUE: $__________ ------------------------------------------------------------------------ DUE DATE & LATE FEES ------------------------------------------------------------------------ ** DUE DATE: __________ ** Late fee policy: - Late fee of $__________ applies if payment is received more than __________ days after the due date. - Interest accrues at __________% per [month/year] on past-due balances. ------------------------------------------------------------------------ PAYMENT METHODS ------------------------------------------------------------------------ [ ] Check — Make payable to: __________ Mail to: __________ [ ] Online — Pay at: __________ Login / instructions: __________ [ ] ACH / Auto-pay — Enroll at: __________ [ ] Credit card — Pay at: __________ Processing fee: __________ [ ] In person — Drop off at: __________ Hours: __________ ------------------------------------------------------------------------ DETACH HERE — RETURN THIS STUB WITH YOUR PAYMENT ------------------------------------------------------------------------ Owner name: __________ Account number: __________ Assessment period: __________ Amount due: $__________ Due date: __________ Amount enclosed: $__________ Mail payment to: __________ __________ __________