AUTHORIZATION AGREEMENT FOR PREAUTHORIZED PAYMENTS
Automatic Checking Deductions
 
Unit Owner Name
Acct No or Unit
 
I (we) hereby authorized   hereinafter called the ASSOCIATION, to initialize entries to my (our) checking account at the DEPOSITORY INSTITUTION listed below, to debit the same to such account. I understand my participation in this program involves deduction from my account listed below, which can be subject to corrections and/or adjustments as instructed by the ASSOCIATION.
 
Unit Owner's Bank Name
Bank Address
Routing number or ABA number
Account number DDA
    SAV
Amount of monthly dues or      
Payment Frequency
This authorization is to remain in full force and effect until    has received writen notification from me (or either of us) of its termination in such time and in such manner as to afford & EXECUTIVE NATIONAL BANK a reasonable opportunity to act on it.
 
_______________________________________________________________________________
                         Signature of Member                                                        Date
 
_______________________________________________________________________________
                         Signature of Member (2nd authorized person)                                                Date
 
Attention participants: Whenever possible provide   a copy of a voided check to verify bank information. Return or rejected ACHs are subject to late fees