Bill Payment Request

Bill Payment_Owner Reimbursable Request-2

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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 *

Email *

Phone *

Type of Request *

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 *

Payment Amount *

Expense Category *

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.

Notes/Other Instructions

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 *

Maximum upload size: 33.55MB

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NOTE: If you are experiencing trouble submitting this form, please allow 5-10 minutes and retry. If unsuccessful, email all required information and attachments directly to billpay@hausfs.com.