Authorization Agreement for Direct Debits (ACH debits) AUTHORIZATION AGREEMENT FOR DIRECT PAYMENTS (ACH DEBITS) NOTE: A VOIDED CHECK MUST BE ATTACHED TO THIS FORM TO BE PROCESSED PROPERLY I (we) hereby authorize GERVIN REALTY, hereinafter called "Company," to initiate debit entries to my (our): Checking AccountSavings Account indicated below at the depository financial institution named below, hereinafter called "Depository," and to debit the same to such account for the purpose of collecting assessments for my community association. I (we) understand that this debit will occur on or about the: of each month in which assessment payments are due. I (we) acknowledge that the origination of ACH transactions to my (our) account must comply with the provisions of United States law. This authorization is to remain in full force and effect until Company has received written notification from me (or either of us) of its telmination in such time, and in such manner, as to afford Company an Depository a reasonable opportunity to act on it. Name of Condominium Association Signature 1: (Please sign here using your mouse) Signature 2: (Please sign here using your mouse) Date of signature(s): NOTE: A VOIDED CHECK MUST BE ATTACHED TO THIS FORM TO BE PROCESSED PROPERLY Upload Voided Check Here. Gervin Management prides itself on its team of professional realtors and property managers. We believe in hard work and reliable service, and have been providing our clients with excellent results for over forty years. Request A Quote
