Submit Direct Payment Authorization
to Management Company
Note: A COPY OF A VOIDED CHECK MUST BE ATTACHED TO THIS FORM TO BE PROCESSED PROPERLY
I (we) authorize
ABC Management
, hereinafter called "Company" to initiate debit entries indicated below at the depository financial institution named below, herinafter called "Depository" and to debit the same to such account for the purpose of collecting assesments for my community
associations.
I (we) understand that this debit will occur on or about the
1st
of each month in which assessment payments are due. I (we) acknowledge that the origination of the ACH transactions to my (our) account must comply with the provisions of United States law.
Bank Name
*
Routing Number
*
Account Number
*
My associations are:
Community Property Owners Association AND
HOA
Country Club
Marina
Healtth Club
Other
Name(s)
Check
By my electronic signature, this authorization is to remain in full force and effect until Company has received written notification for me (or either of us) of its termination in such time and in such manner as to afford Company and Depository a reasonable opportunity to act on it.
Signature
*
Portal Inactive