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ACH Form – UHCOA II
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ACH Form – UHCOA II
ACH Form – UHCOA II
Home
ACH Form – UHCOA II
ACH Form – UHCOA II
Deb Foley
2022-06-17T19:03:10-07:00
UNIVERSITY HILLS CONDOMINIUM OWNERS ASSOCIATION II
AUTHORIZATION AGREEMENT FOR DIRECT PAYMENTS (ACH DEBITS)
Please complete and sign this authorization form. Attach a voided check and return to Accounting Dept - 1083 California Avenue, Irvine, CA 92617. Your designated Financial Institution must be capable of processing our automatic debit transaction. Please confirm this with your Financial Institution.
Customer Name
(Required)
University Hills Account Number
(Required)
Email
Phone
Address
(Required)
I (We) hereby authorize UNIVERSITY HILLS CONDOMINIUM ASSOCIATION II, hereinafter called UHCOA II, to initiate debits to my account indicated below at the Financial Institution named below in the amount of my monthly UHCOA II bill.
Bank Name
(Required)
Bank Account Number
(Required)
Routing Number
(Required)
Upload voided check or screenshot of full account and routing numbers
(Required)
Max. file size: 100 MB.
This authorization is to remain in full force until UHCOA II has received written notification from me (or either of us) of its termination in such a manner as to afford UHCOA II and the Financial Institution reasonable opportunity to act upon it.
Signature(s)
(Required)
Signature 2
Date
(Required)
Month
Day
Year
Please continue to make your payments by check until you receive notification of the Direct Debit start date from our Accounting Department.
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