AUTHORIZATION AGREEMENT FOR PREAUTHORIZED PAYMENTS

 

NAME:                                                                                              

 

MAILING                                                                                         

ADDRESS:                                                                                       

 

PROPERTY                                                                                   

ADDRESS:                                                                                       

 

ASSOCIATION:                                                                              

 

ASSOC. ACCT#:                                                                                 

 

BANK ACCOUNT INFORMATION

 

BANK NAME:                                                                                   

 

ROUTING #:                                                                                    

 

BANK ACCT#:                                                                                 

 

I (we) hereby authorize the Association to initiate debit entries to my (our) checking account for the monthly assessments, miscellaneous charges, late fees, and other related HOA fees.  Indicated above is my (our) financial institution information to which said entries should be applied.

                                                                                                         

SIGNED                                             DATE

 

                                                                                                         

SIGNED                                             DATE

This Authorization will remain in full force and effect until stated Homeowners Association has received written notification from me (either of us) of its termination in such time and in such manner as to afford stated Homeowners Association and my (our) bank a reasonable opportunity to act on it (30 days).

 

PLEASE ATTACH VOIDED CHECK.

Please return completed and signed form to:             Menas Realty Company

Attention:  Michelle Wood

4990 Mission Blvd.

San Diego, CA 92109