Payment Plan (Not available on amounts less than $250)

This form is not for the use of setting up ACH automatic payments; it is for a payment plan for a delinquent account.

NOTICE: Submission of the blow form does not automatically constitute a payment plan. The plan must be reviewed and approved by the management team as well as the board of directors. Once approved you will receive a mailed copy of your executed payment plan with payment instructions.

An approved payment plan does not mean the member is in good standing. A payment plan is a tool the association uses to allow owners to stop the collection process. This will stop attorney fees and late fees from being charged to your account; however, you will not have access to any amenities such as pools, tennis courts, fitness centers, etc.. including parking, depending upon the parking policy for your community.

Fees:

Complete Online

$50.00 per unit/lot per Association

Complete In person

$75.00 per unit/lot per Association. (At an office or community center location)

Please allow five (5) to seven (7) business days for processing of any requested payment plan.

Confessed Judgment Note (CJN) - 20

Step 1 of 4

Phone
This field is for validation purposes and should be left unchanged.
Notice: THIS IS A PAYMENT PLAN

If you have received collection notices from our office or from an attorney do not use this form please follow the instructions on the Collections notice to establish a payment plan.

This form is for owners who are current and wish to be on a pay plan not for owners owing more than one year of association fees.
Need Help? Check out the How To guide below.

Need Help? Check out the How To guide below.
Community Name*
Name(s)*
Address*
Total Due*
Acct*
Email*
Mailing Address (if not the same)
Phone Home*
Work
Cell
PAYMENT PLAN – This application is good for the life of this plan and does not roll over to the next year. The full payment must be paid by
MM slash DD slash YYYY
(
Initial here). If any payments are missed in accordance with this schedule your account will automatically be forwarded to the Association’s Attorney for legal collections.
Payments*
Date Amount
This field is hidden when viewing the form
Total Amount Due (Hidden Field)
The Payment Plan amount does not match the Total Amount Due. Please double check your payments before submitting.
FOR VALUE RECEIVED, I WE JOINTLY AND SEVERALLY PROMISE TO PAY THE ORDER OF:
, THE DOLLAR AMOUNT DUE AND PAYABLE OF $
(Initial here)
In consideration whereof, the makers and endorsers herein jointly and severally do waive all notice, demand and protest, and in default of payment of this note, or before maturity thereof, they do further authorize Justice of the Peace or Clerk in any court of record in Maryland or elsewhere, to enter judgment thereof by confession against us for the amount stated herein, plus any applicable interest and costs including attorneys’ fees, expressly waiving summons or other process, and do further consent to the immediate execution of said judgment, expressly waiving the benefit of all exemption laws and all irregularity or errors in entering said judgment or the execution thereof.
Signature*
Homeowner(s) Signatures
Home Owner Signature Date*
MM slash DD slash YYYY

Date
This field is hidden when viewing the form
Blackstone Signature
Blackstone Witness
This field is hidden when viewing the form
Blackstone Date
MM slash DD slash YYYY

Date
Payments may be made online or in person at any Blackstone Management office. Payments dropped off at the management office must be in the form of a check, money order or cashier’s check. Cash and credit cards are NOT accepted in the management office.

If you choose to mail this form, please be sure to include a separate check made payable to Blackstone Management in the amount of $25.00 for a one-time administrative fee and RETURN IMMEDIATELY TO: 2A Industrial Park Drive, Waldorf, MD 20602 Any CJN returned without the $25.00 administrative fee will be returned to sender unprocessed. Please note: Blackstone Management is not responsible for any CJN that is NOT delivered by hand to our office and witnessed by a Blackstone Management employee. It is the responsibility of the homeowner to participate in a CJN plan and to insure your CJN has been received. We strongly encourage you to had deliver your CJN so that it may be date-stamped, witnessed and duplicated for your records. If you have any questions, please email [email protected] or call us at 240-349-2117.

Payment Plan (Not available on amounts less than $250)

Fees:

Complete Online

Complete In person

Confessed Judgment Note (CJN) - 20

Step 1 of 4

Payment Plan Terms and Conditions

Waldorf, MD

Washington, DC

Arlington, VA

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Please review the HOW-TO Video before filling out the

payment plan form. We are not able to give a refund or

any type of credit for incomplete or misfiled forms.

Date	Amount