ACH FORM

ACH Authorization Form

Consumer Authorization for Direct Payment Via ACH (ACH Debits)

Please fill out and submit the form below, or download the PDF and drop it off at our office. Our team will be in touch to confirm your information was received.

Download PDF of ACH Form

I (we) hereby authorize RRS Management LLC (The Company) to initiate debit entries to my (our) checking accounts at the financial institution listed below (The Financial Institution), and if necessary, initiate adjustments for any transactions credited/debited in error. (Prior authorization will be obtained before correcting any errors). This authority will remain in effect The COMPANY is notified by me (us) in writing to cancel it in such time as to afford The COMPANY and The FINANICAL INSTITUTION a reasonable opportunity to act on it.

Checking

Withdrawal will be made on or around the date selected.

Voided Check is required to verify Routing #

Account Owner Signature

I (we) understand that this authorization will remain in full force and will be adjusted if common charges change. The authorization will remain in full force and effect unit I (we) notify The COMPANY in writing that I (we) wish to revoke this authorization. I (we) understand the company will require two weeks to terminate any Withdrawals.

If there are insufficient funds in the account a late fee will be assessed, and the unit owner is responsible for the scheduled payment not being completed.

If the unit owner defaults on any obligations imposed under this agreement the Association/Company reserves the right to terminate the automatic payment agreement and to bill the owner for future monthly required payments.

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