Home
About Us
Our Team
Apartment Complexes
Community
Contact Us
Late Rent Request
Name:
Phone:
Date:
/
/
Email:
Current Address:
Address
CSZ
I am requesting that my grace period for rent payment be extended to the
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
/
2010
2011
2012
2013
2014
because of the following circumstances:
I understand that the late rent request must be turned into the office at least 2 business days prior to the 1st of the month or late fees will be charged.
I understand that if my outstanding balance is not received in full by 4:00 pm on that day I will be charged full late fees at $5.00 per day retroactive to the first of the month until my entire balance is paid in full. I also understand that by turning in this request it does not automatically guarantee acceptance. Management will notify me within 1 business day of their decision to accept or reject this request.
I am also aware a late rent request will only be accepted once in a six month period with the possibility of waived late fees.
Electronic Signature and Acceptance
If you are electronically submitting this form to Coldwell Banker First Realtors, apply your electronic signature to this form by checking the Electronic Signature and Acceptance box above. By doing so, you hereby consent and agree that your use of a key pad, mouse, or other device to check the Electronic Signature and Acceptance box constitutes your signature, acceptance, and agreement as if actually signed by you in writing and has the same force and effect as a signature affixed by hand.
Tenant
Date
/
/
www.wallawallarentals.biz
218 W. Main, Walla Walla, WA 99362
Office : (509) 525-0820
Fax : (509) 522-1053
Toll Free : 1.800.231.4935
rent@cbfr.biz
|
Privacy Policy
©2009. All rights reserved.