FLORIDA RESILIENCY ENERGY DISTRICT

PREPAYMENT REQUEST FORM

Only complete this form if the the property tax bill has an assessment with the

Florida Resiliency Energy District .

Financing ID

(For the HERO program this should be start with "FL")

Property Address

(Address where the assessment is located)

City

Zipcode

Type of Payment

Payoff

Paydown

Closing Type

Estimated Closing Date

Partial Prepayment Amount

Minimum partial amount is $2,500

Request From

I am the property ownerI am an agent of the property owner

Requested by Name

Requested by Email

Requested by Phone #

Agency

Agency Name

Yes

I certify that I have been authorized by the property owner to obtained a payoff statement and that the use of any information obtained is solely for the purpose of servicing or processing a financial product and for no other purpose

Notice for Non-Refundable Fee

Important Notice

This fee is non-refundable under all circumstances, including but not limited to cases where the subject property is not assessed through the Florida Resiliency and Energy District. It is the sole responsibility of the requester to verify district participation prior to submitting this form and paying the fee.

No exceptions or refunds will be issued for errors or omissions, including misidentification of district participation.

If you are not sure the property is assessed through the Florida Resiliency and Energy District use this link to verify: https://www.paymypace.com/help-center

Processing Options:

Standard: 3 to 5 business days require a $50 fee.

Expedited: 2 business days, excluding holidays require a $70 fee.

Select processing type

Expedited: $70

Standard: $50

Paydown Fee: $25

(Request will be processed within 3 to five business days)

Billing Information

First Name

Last Name

Company Name

Billing Address

Billing City

Billing State

Postal Code

Billing Email

Card Number

Code

Amount to be Charged

Full Billing Name on Card