Automatic Payment Service (APS) Authorization Form

An installment fee is added to all charges. The current installment rate is provided in the Canyon Lake Property Owners Association’s Fee Schedule.

Automatic Payment Service (APS) Application

Automatic Payment Services (APS) Authorization

Select one *

	Changing your billing amount (no check required)
	Discontinue the APS program (no check required)
	New enrollment for APs program on this property
	Updating your bank information

Changes being added or modified

Starting Month:

A voided check must be submitted to the Canyon Lake POA's Accounting office in order to enroll in APS. This form must be received by the 25th of the current month to activate the automatic payment process for the next billing month. Please attached a voided check below or mail it to: Canyon Lake Property Owners Association 31512 Railroad Canyon Road Canyon Lake, CA 92587

Attach Supporting Documents

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Member Information

Tract-Lot Number *

First Name *

Last Name *

Property Address:

City: *

State: *

Zip Code:

Phone *

Email Address *

Applicant's Signature

By checking this box, I hereby authorize Canyon Lake Property Owners Association and my financial institution to automatically deduct all future payments for my assessments and related charges from the checking account listed in accordance with the terms on the reverse and the Canyon Lake Property Owners Association policy and procedures on “ACH payments by Members.” I understand that the Canyon Lake Property Owners Association reserves the right to terminate this authorization and my participation therein. If I choose to terminate this authorization, I will immediately notify the Canyon Lake Property Owners Association.

By checking this box, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

Electronic Signature *

Submit

Automatic Payment Service (APS) Authorization Form

Automatic Payment Service (APS) Application

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