- • • Credit or Debit Card Authorization Form (One Time Payment Only) Property Name ("Landlor. NI\tu6 Resident/Applicant Name Property Address ('teased Premises,: Unit # W a(L,,C) OXIS by authorize and agree to allow Aspen Square Management, Inc., on behalf of the Landlord, to charge / MasterCard / Debit (CIRCLE ONE). Name on Credit/Debit Card Address City State Zip Credit/Debit Card Number Expiration Date Amount s w-.°73) Reason for Payment Signed this J day of Ni 2011 Resident/Applicant: T anfilord / Landlord's Agent: ASPENSQUARE •CAn•GSvtki -cox \:act EFTA00283801 May. 7. 2014 1:44PM '0. OD, E.SERVICES AUTHORIZATION FORM Property NameC=":\/\,.-12. \I\ 0.1.) CO! vi9a_c3 Cite (Company Name) ES4089 LtSIS -.5(1) % ( ProPerbil0 umt. \\o1 ;ti `Office° E.SentiCes Minimum Monthly Payment Amount Date of t aPayment Date of Last Payment Rent and other charges up tot Frequency of Payment ❑ Monthly on the 1st (See Manager for other optionS) • Last Name First Name Address City State Tip ICHECKING/SAVINGS Please debit payments from my (check one): 0 Savings Account (contact your &sandal institution for Routing li) Q Checking Account (attach a voided check) Financial Institution Name Routing Number Valid Routing emust Account Number. Cann% in /21411r 1.—......„_ start rife 4 1, Z or 3 MCI L.—I I ..ClidtlIonier LAisesatlaitdt ant Name on the Account I authorize the above company to process debit entries to my account I understand that this authority will remain in effect until I provide reasonable notification to terminate the authorization. Authorized Signature: Dote: ELECTRONIC PAYMENT CANCELLATION _1 with to =cal electronic payment Authorized signemre on my exottht Date: " Please note that i t tatter several bust ass days to process this informaaon, therefore, you cancel this less than five (5) days prior to Sib's: of the month, the deduction will not cease we the following month. The last amorist:tic deduction will be Mew month of Q. What is EServices electronic payment? A Electronic payment IS automatic bill payment whereby your payment is deducted automatically from your theCking or savings account a 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 a payment or mailing it in on time. Q. Without a cancelled check, how can I prove I made my payment? A. Your bank statement gives you an itemized Ost of electronic payments. It is your proof of payment Q. Is electronic payment risky? A Electronic payment is less risky than chetk payment. It cannot be lost, stolen or destroyed in the mail. Q. What if I change bank accounts? A Notify the Management office and we will give you a new Electronic Payment Authorization Form to complete. Q. How much does electronic payment cost? A. It costs you nothing. Plus, you save on the cost of stamps, checks and envelopes. O. What if I try electronic payment & I don't like it? A. You can cancel your authorization by tilling out an Electronic Payment Authorization Form anytime. EFTA00283802