Authorization Agreement for Direct Payments (ACH Debits)

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Authorization Agreement for Direct Payments (ACH Debits)

Homeowners Association Name*
Property Address*
Street Address City State ZIP Code
Customer Name:*
hereby authorizes TMMC Property Management, as agent for the association named above, to initiate debit entries to my (our) account as described below for the amount of the regular recurring assessment(s):
Financial Institution Name:*
Bank Routing Number*
Account Number*
Checking or Savings*
- Checking
- Savings
This authority is to remain in full force and effect until TMMC has received written notification from the Customer of its termination in such time and in such manner as to afford TMMC a reasonable opportunity to act on it. Please note that there may be changes to the assessment amounts and/or due dates in accordance with the Association’s governing documents and applicable statutes. Bank fees related to returned ACH payments will be posted to the Customer’s HOA account according to the Association’s governing documents. TMMC Property Management reserves the right to make changes in the agreement at any time. We may cancel Preauthorized Electronic Assessment Payments at any time without cause, and the Customer can terminate this agreement at any time by giving sufficient written notice.*
I agree to this policy.
This authority is to remain in full force and effect until TMMC has received written notification from the Customer of its termination in such time and in such manner as to afford TMMC a reasonable opportunity to act on it. Please note that there may be changes to the assessment
amounts and/or due dates in accordance with the Association’s governing documents and applicable statutes. Bank fees related to returned ACH payments will be posted to the Customer’s HOA account according to the Association’s governing documents. TMMC Property
Management reserves the right to make changes in the agreement at any time. We may cancel Preauthorized Electronic Assessment Payments at any time without cause, and the Customer can terminate this agreement at any time by giving sufficient written notice.
Name:*
First Last
*This represents a physical signature*
Date*
Month
Day
Year
Effective Date*
MM slash DD slash YYYY

TMMC will withdraw recurring assessment amounts due after the effective date.
Please submit this form and bring a voided check (for checking account requests) to TMMC Property Management, P.O. Box 1540, Castle Rock, CO 80104. Should you have any questions regarding this form please contact our office at (303) 985-9623. Payment draws will be initiated on the 10th of the month and should appear on your bank records between the 10th and the 15th. Forms received by the 5th of the month will be processed and ACH payment will begin in that month. Forms received after the 5th will be processed for debit the following month.*
Complete Submission
Please submit this form and bring a voided check (for checking account requests) to TMMC Property Management, P.O. Box 1540, Castle Rock, CO 80104. Should you have any questions
regarding this form please contact our office at (303) 985-9623. Payment draws will be initiated on the 10th of the month and should appear on your bank records between the 10th and the 15th.
Forms received by the 5th of the month will be processed and ACH payment will begin in that month. Forms received after the 5th will be processed for debit the following month.

Authorization Agreement for Direct Payments (ACH Debits)

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