Credit or Debit Card Authorization Form (One Time Payment Only) CSLOGR Vitus Property Name (“Landior i) Resident/Applicant Name Property Address (“Leased Premises” Unit # \ \O -dOLo Ctenby authorize and agree to allow Aspen Square Management, Inc., on behalf of the Landlord, to charge VISA / MasterCard / Debit (CIRCLE ONE). Address City S ———__ State_ Zip oO Amount $ AS ‘ Reason for Payment Rev ) | Signed this F> day of Nou aM Sis Resident/Applicant: Landlord / Landlord’s Agent: ASPENSQUARE MANAGEUERT You back 40". EFTA00283801

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May. 7. 2014 1:44PM No. 9965 =P. 2/2 E.SERVICES AUTHORIZATION FORM Property Name = : WA WKS ES4089 ~ YES ~SO. (Company Name) { ( property #) “Office” E-Services #. Minimum Monthly Payment Amount, Date of 1" Payment___ Rent and other charges up to: QO Monthly on the ist_____ (See Manager for other options) Please debit payments from my (check one): Routing Number. | Valid Routing # must start with 0, 1, 2, or 3 (2 Savings Account (contact your financial institution for Routing #) | ‘ . Account Number. Tl] Checking Account (attach a voided chack} SU2SLEETS% 423 LESLEEP DOD Financial Institution Name Shock Wumbor hamper Name on the Account CHECKING / SAVINGS ! authorize the above company to process debit entries to my account. | understand that this authority will remain in effect until | provide reasonable notification to terminate the authorization. Authorized Signature: Date: ELECTRONIC PAYMENT CANCELLATION ~ 1 wish to cancel electronic payment. Authorized signature onmy account tes ** Please note that it takes several business days to process this information, therefore, iff you cancel this less than five (5) days Prior to the first of the month, the deduction will not cease until the following month. The last automatic deduction will be in the month of Q. What is E.Services electronic payment? A. Electronic payment Is automatic bill payment, whereby your payment is deducted Sutomatically from your checking or savings account. Q. How can you transfer money from my account? A. Only with your authorization. Q. When is the electronic payment transferred from my account? A. On the first of the month. You never have to worry about forgetting @ payment or mailing it in on time. Q. Without a cancelied check, how can | prove | made my payment? A. Your bank statement gives you an itemized list of electronic payments. It is your proof of payment. Q. Is electronic payment risky? A. Electronic payment is less risky than check payment, it cannot be lost, stolen or destroyed in the mail. . Q. What if | change bank accounts? A. Notify the Management office and we will give you a new Electronic Payment Authorization Form to complete. . Q. How much doss electronic payment cost? A. It costs you nothing. Plus, you save on the cost of stamps, checks and envelopes, . Q What if I try electronic payment & { don’t like it? A. You can cancel your authorization by filling out an Electronic Payment Authorization Form anytime. EFTA00283802