Please complete this form if you would like to make changes or cancel your automatic payment deduction.

This form is only for accounts using the ACH option through Communities of America. If you are using your bank's bill pay option, or if you established a recurring payment through SmartStreet, you are responsible for making changes and/or canceling the service.

Automatic Payment - Changes/Cancellation Form

* First Name

* Last Name

* Association Name

* Street Address (Please enter your property address NOT your mailing address)

* City

* State

* Zip Code

* Phone Number

* Email Address

* Type of Request

Change Request

Cancellation Request

* Date Change/Cancellation is Effective?

* Change/Cancellation Requests will be processed within (7) business days.

CHANGE REQUEST - If you are making a change request, please provide all the necessary information to update your account. You will receive an email notification when the account changes have been processed.

CANCELLATION REQUEST - If you are requesting a cancellation, no additional information is neccessary.

* Please enter your initials to accept the terms outlined above and approve the requested change/cancellation.

* Indicates Response Required


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