Bill Payment Request Bill Payment/Owner Reimbursement Request Association Name * Your Name * A Current Board member must complete and submit this form. Please enter the submitting Board Member's name here. Board Member Position * President Secretary Treasurer Other Email * Phone * Type of Request * Bill Payment Owner Reimbursement Move In/Out Deposit Refund to Owner Owner Reimbursement Details * This bill has been paid by an Owner In the "Payee Name" field, enter the name of the Owner to be reimbursed. In the "Expense Category" drop-down, select the category for the expense paid on behalf of the association. Payee Name * Payee Address Please enter a mailing address for payment if the address is not stated on the attached documentation or is different from what is shown. Payment Amount * Expense Category * Accounting Fees Bank Fees Common Area Maintenance: Boiler Maintenance Common Area Maintenance: Carpet Cleaning Common Area Maintenance: Cleaning Common Area Maintenance: Elevator Maintenance Common Area Maintenance: Fire Equipment Maintenance Common Area Maintenance: Inspection Fees Common Area Maintenance: Landscaping Common Area Maintenance: Laundry Machine Rental Common Area Maintenance: Misc Repairs and Maintenance Common Area Maintenance: Monthly Maintenance Common Area Maintenance: Pest Control Common Area Maintenance: Planned Repairs/Maintenance Common Area Maintenance: Plumbing Maintenance Common Area Maintenance: Roof Maintenance Common Area Maintenance: Snow Removal Common Area Maintenance: Supplies Common Area Maintenance: Waste Removal Common Area Maintenance: Window Washing Consulting Fees Easement Agreement Insurance Legal Fees Miscellaneous Expense Move In/Out Deposit Office Supplies Parking Fees Permits Postage & Delivery Real Estate Taxes Registration & Fees Utilities: Cable/Internet Utilities: Digital TV Service Utilities: Electric Utilities: Elevator Phone Line Utilities: Gas Utilities: Intercom Service Utilities: Security System Utilities: Water Other Expense Capital Repairs & Improvements Owner Reimbursable Expenses Rental Unit Expense Owner to Charge If the expense is to be charged back to an owner's account, select Owner Reimbursable Expense Category and indicate the owner to charge here. Authorization for Payment * I hereby authorize payment of the expense submitted. By checking the box, you are authorizing Haus Financial Services, LLC to issue payment to the vendor/owner as detailed on the documents provided. All submissions received via this form will be processed without further request for authorization, unless there is a discrepancy or additional information is required. File Upload * Uploading Files. Please Wait. Drop a file here or click to upload Choose File Maximum upload size: 20.97MB Please upload a copy of an original invoice or receipt for processing of your request. Prove you are a person!