Sign up for ACH (automatic withdrawal) by completing and signing the authorization form below and returning it to us along with either a voided check or your account and routing numbers. Direct payments will be withdrawn each month, (or next business day for the current month) for monthly billings. Quarterly billings are withdrawn on the first month of each quarter (January, April, July and October). Annual billings are withdrawn in mid-January of each year.
ASSOCIATION NAME: ____________________________________________________________________________
NAME ON ACCOUNT: ____________________________________________________________________________
PROPERTY ADDRESS: ____________________________________________________________________________
CITY, STATE & ZIP: ________________________________________________________________________________
I authorize Bold Property Management Solutions to process debit entries from my account for assessment (association dues) charges. This authority will remain in effect until I give Bold Property Management Solutions written notification to terminate this authorization 15 days prior to the date of the next transaction. I understand that Bold Property Management Solutions does reserve the right to terminate automatic withdrawal if notice is received of an insufficient funds (NSF) transaction or a closed bank account and a $25.00 NSF fee will be charged to my account.
Authorized signature on my account Date
ACCOUNT NUMBER ROUTING NUMBER
*PLEASE CAREFULLY ENTER ACCOUNT INFO* OR *ATTACH A VOIDED CHECK *
Bold Property Management Solutions
PO Box 5800 Avon, CO 81620