Assessment Form

Please indicate the service you are requesting:
Collecting LetterForeclosureLien RecordingSmall Claims

Debtor Information:

Please forward payment history, copy of Lien, and C,C, & R’s

Regularly Monthly Assessments are in the amount of  
with a late charge of     due on the  

Assessment became delinquent on     and are due on the     of each month.

Please list explanation, amount, and date occurred.

We hereby request and authorize California Lien Services to act as our agent and trustee for the purpose of collecting delinquent assessments, as well as execute, record and/or endorse on our behalf any necessary liens, payments, Substitution of Trustee or other foreclosure notices. We have read your fee schedule and agree to be bound thereby. Further, we understand that during the foreclosure/small claims process, no payments will be accepted by the Management Company/Homeowners Association. All partial payments and inquiries will be forwarded to California Lien Services.

  I accept these terms.