I (we) hereby authorize Community name listed above in "Community Name" field hereinafter called COMPANY, to initiate debit entries, for the purpose of authorized assessments by the Association, to my( our) checking/savings account indicated by the account information entered below, hereinafter called DEPOSITORY, to debit the same to such account.
This authorization 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. NOTE: IF FOR ANY REASON THIS DRAFT DOES NOT CLEAR YOUR BANK ACCOUNT THERE IS BE A $25 CHARGE TO YOUR HOA ACCOUNT. AFTER TWO CONSECUTIVE “NON-SUFFICIENT FUNDS” HAVE BEEN RETURNED BY YOUR FINANCIAL INSTITUTION YOUR DRAFT WILL BE STOPPED. IF YOUR BANK ACCOUNT INFORMATION CHANGES CONTACT OUR OFFICE PRIOR TO THE NEXT SCHEDULED DRAFT TO AVOID A RETURN OF YOUR DRAFT AND POSSIBLE FEES CHARGED AS STATED ABOVE.