• Step 8 of 9


    (I/we) do hereby authorize Tenant Property Protection, hereinafter named the COMPANY, to initiate recurring (debit or credit) entries to (my/our) Checking Account as indicated and named below as the depository financial institution, hereafter named FINANCIAL INSTITUTION. (I/we) acknowledge that the origination of ACH transactions to my (my/our) account must comply with the provisions of U.S. law. Furthermore, if any such debit(s) should be returned NSF, (I/we) authorize the COMPANY to collect such debit(s) by electronic debit and subsequently collect a returned debit NSF fee of $25.00 per item by electronic debit from my account identified below.

    COMPANY Invoices/Credits and their due dates will serve as draft notification.

    This authorization is to remain in full force and effect until the COMPANY has received written notification from me (or us) of its termination in such time and in such manner as to afford the COMPANY and FINANCIAL INSTITUTION a reasonable opportunity to act on it. I am a duly authorized check signer on the financial institution account identified below and authorize all of the above, as evidenced by my signature below.

  • Date Format: MM slash DD slash YYYY
  • (Optional) - If you will be submitting ACH form via mail or fax please attach directly to the printed out pdf generated.
    Attaching image/scan here will send a copy directly to our team. It will not show on the pdf.
  • NOTE: Please include a voided check for this account (Attach to Scan)

  • Please email or fax this information to: Ruth Kolling at rkolling@tenantpropertyprotection.com or Fax: # is 623-334-0200

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