HOA Payment With Auto Withdrawal

All HOA assessment payments will be withdrawn on the 10th of the month. This form will activate your automatic withdrawal only if it is received no later than the 1st of the month you want ACH to begin. Otherwise, it will begin on the following month - no exceptions.

TERMS AND CONDITIONS:

I HEREBY AUTHORIZE OUR HOMEOWNERS ASSOCIATION, HEREINAFTER CALLED "COMPANY", TO INITIATE A MONTHLY CREDIT TRANSACTION IN THE AMOUNT OF OUR CURRENT ASSESSMENT BALANCE, FROM MY/OUR ACCOUNT INDICATED BELOW AT THE BANK NAMED BELOW, HEREINAFTER CALLED "DEPOSITORY', TO CREDIT THE SAME TO SUCH ACCOUNT


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THIS AUTHORIZATION IS TO REMAIN IN FULL FORCE AND EFFECT UNTIL TERMINATED, IN WRITING, BY EITHER THE HOMEOWNER OR "COMPANY".


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