<% Language=VBScript %> Sunrise Assessment Form
   
 


Declaration of Default and
Request for Preparation of Lien
and /or Notice of Default
(Please submit with each new collection)

You may expedite your collection order by completing the "Declaration of Default" form on-line. Once you have completed this form, print, sign and fax to our office at (916) 962-1334 along with the homeowner's accounting ledger beginning with a zero balance."

       
Name of Association :
Management Company :
Contact :
Name(s) of Delinquent Homeowner(s) :
Property Address :
City :
State :
Zip Code :
Mailing Address :
City :
State :
Zip Code :
  Your Reference/ Account No. :
   

 

 

* Current Regular Assessment: $
* Due on (Date):  

*    Assessments are due (select one):
  monthly   quarterly  annually  other
* Next payment change amt: $
* Due on (Date):  
* Current Special Assessment: $
* Due on (Date):  
*    Special Assessments are due (select one)
  monthly   quarterly  annually   other
* Special Assessments Effective:
 
  From   / /  
  Through   / /
* Management Company Collection Cost: $

   

 
     

 
 
  
  An Accounting statement/ledger beginning with a zero balance must accompany this form to begin Collection proceedings.You may fax the ledger to (916) 962-1334 .
      
Has the Association received a written request to provide collection notice to a secondary address?
 No
  Yes. Please Provide the name and address.
 
  Name:  
  Address:  
  City:  
  State:  
  Zip:  
     
If your Association /Management Company is new to Sunrise Assessment Services, please contact our office for further instructions/information needed to start the collection process.
I hereby designate Sunrise Assessment Services as the party authorized to sign the Notice of Deliquent Assessment and any subsequent foreclosure documents.

 
* Name of Authorized Representative:  
* Title:  
Dated:  
* Phone:  
E-mail:  
* fill in if you want to receive a copy.
     

End of Form