ELECTRONIC FUNDS TRANSFER

 

Fill out form, print, sign, attach a voided check from your bank account

and mail to:

 

Condominium Property Management

242 Old Sulphur Springs Road

Manchester, MO 63021

 

I  / We authorize  (Please fill in the name of the Association which you reside) to initiate monthly debit  entries (automatic withdrawals) from my/our checking or savings account.  This authorization is to remain in full force and effect until the Association receives written notification from me/us of its termination.  To terminate automatic withdrawals for the following month, I/We understand that notice of termination must be received in the management office by the 20th of the prior month.

 

I WOULD LIKE MY EFT PAYMENT TO BEGIN THE MONTH OF: 

 

Form must be received by the 24th of the prior month that you want the withdrawal to begin.  (Example:  If you want it to start January 2004, we must receive the form no later than December 24, 2003.)

 

 

Print Name (as it appears on account) 
 
Signature 

Address

Date 

Phone Number

 

 

PLEASE ATTACH VOIDED CHECK TO THIS APPLICATION AND MAIL TO THE ADDRESS ABOVE