ContractAuthorization Agreement for Direct Debit • February 3rd, 2022
Contract Type FiledFebruary 3rd, 2022SENECA CHASE HOMEOWNERS ASSOCIATION AUTHORIZATION AGREEMENT FOR DIRECT DEBIT The direct debit program is the easy, no-cost, set-and-forget method of payment and is highly encouraged. ⮚ Complete ALL of the below information⮚ Include a voided check⮚ Sign and date the form⮚ Submit form and check according to directions at bottom of page Your Bank or Depository Branch/Location City State Zip Code Routing # (located at the bottom of check) Bank Account # Seneca Chase HOA Account # SCA- Name(s) Address Phone Number (H) (Cell) SIGNED DATE SIGNED DATE