Common Contracts
1 similar Authorization Agreement for Automatic Deposit (Ach Credits) contracts
ContractAuthorization Agreement for Automatic Deposit (Ach Credits) • September 5th, 2018
SMHA AUTHORIZATION AGREEMENT FOR AUTOMATIC DEPOSIT (ACH CREDITS) Landlord Information: Legal Name: Employer ID or SSN: Point of Contact Name: Phone Number: Mailing Address: Email Address: (Required) I (we) hereby authorize Stark Metropolitan Housing authority, hereafter called AGENCY, to initiate credit entries to my (our) account indicated below and the depository named below, hereafter called DEPOSITORY, to credit the same to such account. Depository ( Bank) Name: Depository (Bank) Address: Type of Account (Check one) : Checking Savings Name on Account: Routing Number: Account Number: This authority is to remain in force and effect until the AGENCY has received written notification of its termination in such time and in such manner as to afford the AGENCY and DEPOSITORY a reasonable opportunity to act on it. Name(s) (Please Print): Signatures(s): Date Date PLEASE PROVIDE VOIDED CHECK (NO DEPOSIT SLIPS PLEASE)
