LAKELINE SQUARE TOWNHOMES
PO Box 170984
Austin, TX 78717
512.826.0500
 
 
AUTHORIZATION AGREEMENT FOR AUTOMATIC PRE-AUTHORIZED DEBITS
(ACH DEBITS)
 
I (we) hereby authorize Colby Property Management, on behalf of Lakeline Square Townhomes, hereinafter called COMPANY, to initiate debit entries (pre-authorized drafts or withdrawals) and to initiate, if necessary, credit entries and adjustments for credit entries in error to my (our) account indicated below at the depository named below, hereafter called DEPOSITORY, to credit and/or debit the same to such account.
 
  BANK NAME:      
  ACCOUNT TYPE:   Checking        Savings  
 
  Routing Nbr:   Account Nbr:    
 
FREQUENCY OF DRAFTS:  
    Monthly
    Quarterly (Drafted in Month 1 of 3)
Drafts take place on the 3rd of the month, or the first business day following
 
This authority is to remain in full force and effect until (COMPANY) has received written notification from me (or either of us) of its termination in such time and in such manner as to afford Company and Depository a reasonable opportunity to act on it. If the HOA's Assessment changes, the payment amounts will automatically adjust to reflect the new Assessment rate.
 
NAME:   EMAIL:    
  (Please print)  
DATE:   SIGNATURE:    
 
  CONDO UNIT:    
 
Return this completed form by mail, or email to Manager@ColbyHOA.com