Direct Payment Authorization Form for Electronic Funds Transfer

IT'S EASIER WITH DIRECT PAYMENT!!!

With Direct Payment, you will no longer have to write checks or purchase stamps to mail your payment. Only your fixed monthly fee will be directly withdrawn from your specified bank account and transferred directly to your corresponding association's bank account. Owners who choose Direct Payment will continue to receive our monthly statements exhibiting your account activity.

If interested, please complete the authorization form and e-mail it to our office. Direct Payment is initiated the 5th of every month or the following business day.

With tremendous response from owners, we feel confident that you will enjoy the ease and convenience of Direct Payment. Should you have additional questions regarding this convenient program, please feel free to contact our office at 617/236-2062. Thank you.

Please fill in all fields

1) Account holder's information
Name
Condo address
Unit #:
2) Bank account information:
Bank's name:
Account #:
Bank ABA #, 9 Digits:

3) By sending this agreement, I authorize and instruct my bank to deduct the amount of my monthly condominium fee and parking fee (if applicable) from my account on the fifth of every month or the following business day and remit directly to my corresponding condominium association's operating account.

This authorization is to remain in full force and effect until such time written notification has been received by either party.

All the above information is to be held in confidentiality.



252 Newbury Street, Boston Massachusetts 02116
Tel: 617-236-2062 Fax: 617-236-4689 info@bosrealty.com
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