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. "*" indicates required fields Homeowner Association Name* Address* Street Address City ZIP / Postal Code Your Unit # OR Enter N/A* TERMS AGREED TO FOR AUTHORIZATION OF ACH WITHDRAWAL* I understand and consent to the following terms: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 I understand that submitting this form before the 25th day of the current month means that funds will be withdrawn from my account on the 5th day of the following month.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* Bank Routing Number* Confirm Bank Routing Number* Bank Account Number* Confirm Bank Account Number* Name on Bank Account* ASPM Account # (If you know it, from the top right of your ASPM online account screen). Email Address* Enter Email Confirm Email 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* MM slash DD slash YYYY MY NAME ENTERED BELOW CONSTITUTES MY SIGNED AGREEMENT TO WITHDRAW MONTHLY DUES ASSESSMENTS FROM MY BANK ACCOUNT.* First Last CommentsThis field is for validation purposes and should be left unchanged.
