Start Date: _______________________ Date to Cantey:_________________________ Postcard Sent:_______________________The above section to be filled out by Office Staff.
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AUTHORIZATION AGREEMENT FOR AUTOMATIC PAYMENT OF ASSESSMENTS
I (we) hereby authorize FOSTER PREMIER, INC., as agents for Edgewater by Del Webb Community Association, to initiate debit/credit entries to my (our) account at the financial institution name below in the amount indicated on my (our) monthly assessment invoice/coupon. I (we) understand that my (our) checking/savings account will be debited/credited from the invoice/coupon amount on the 10th of each month, or the first business day thereafter.
FINANCIAL INSTITUTION
This Authorization will remain in effect until FOSTER PREMIER, INC., as Agents for Edgewater by Del Webb Community Association, has received written notification from me (either of us) of its termination in such time and manner as to allow reasonable opportunity to act on it.
Handwritten signature required. Please contact Concierge to complete.
Notice to Account Holder: This agreement authorizes the periodic transfer of funds from your account at the financial institution listed above by electronic means. Your rights and liabilities under this agreement are governed in part by federal laws and regulations dealing with electronic fund transfers. You should consult your agreement with the financial institution which holds your account for a more complete disclosure of you legal rights. The above signed customer acknowledges that the information provided is true and accurate.