Payments Payment Request Please use this form to request payment for services rendered or items purchased. Invoice and/or receipt images are required for payments to be initiated. See Operations Team with any questions. Date First Name (required) Last Name (required) Email (required) Property Location 110 119 123 130A 132 140 162 184 195 1-1 1-2 11-1 11-2 11-3 11-4 11-5 11-7 102-1 102-2 102-3 109-6 109-7 2 21 23 24-1 24-2 25A 25B 25C 269 278A 278B 296-1 296-2 296-3 2696 30 34 36 37 38 385 4 41 43 44 406 5 50 53 54 6 60 7 77 79 81 85A 85B 85C 87 97-4 97-5 99A 99B Property Street Name File Upload (Please attach all receipts needed for proof of purchase) Description of Items Purchased Description of Any Additional Charges Amount Paid Does StaySpace have your banking information for ACH reimbursement? (if you have not yet completed a direct deposit form, you must request one from the team. All reimbursements will now be paid by ACH once a week.) Yes No Questions and Comments Submit