ACH Authorization For Withdrawal of Monthly Assessments ACH is the auto-withdrawal by ASPM-SanDiego of homeowner monthly dues assessments. This payment option is offered free of charge to homeowners. Homeowner Association Name*Your Association Property Address, Including Unit #* Street Address Unit # City ZIP Code TERMS AGREED TO FOR AUTHORIZATION OF ACH WITHDRAWAL* I hereby authorize the above-named Association to initiate debit entries to my Checking Account indicated below at the depository financial institution named below hereinafter called DEPOSITORY, and to debit the same to such account. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. I understand that submitting this form before the 25th day of the current month means that funds will be withdrawn from my account on the 5th day of the following month. I understand that submitting this ACH Form after the 25th day of the month means I will need to make a one-time payment the following month until ACH begins on the second succeeding month after submission. This authorization is to remain in full force and effect until ASPM-SanDiego receives written notification from me of its termination in such time and in such manner as to afford ASPM-SanDiego and my Financial Institution a reasonable opportunity to act on it. I further acknowledge and agree to the terms, amounts, methods, and sources of withdrawal, as stated above.Name of Financial Institution*Branch Location of Financial Institution*Monthly Debit Amount*Monthly debit amount is subject to change with 30-day notice of approved dues increase or special assessment.Bank Routing Number*Confirm Bank Routing Number*ASPM-SanDiego is not responsible for missed payments due to account information entered incorrectly.Bank Account Number*ASPM-SanDiego is not responsible for missed payments due to account information entered incorrectly.Confirm Bank Account Number*ASPM-SanDiego is not responsible for missed payments due to account information entered incorrectly.Name on Bank Account* First Last Enter your name as it appears on your Checking Account. ASPM Account # (If you know it, from the top right of your ASPM online account screen).Please enter the best phone number (xxx) xxx-xxxx or email address to reach you in case there is a problem with your enrollment.*Date* Date Format: MM slash DD slash YYYY MY NAME ENTERED BELOW CONSTITUTES MY SIGNED AGREEMENT TO WITHDRAW MONTHLY DUES ASSESSMENTS FROM MY BANK ACCOUNT.* First Last NameThis field is for validation purposes and should be left unchanged.