03 Frenchman's Creek Newsletter October 2014

F I N A N C E

A UTHORIZATION A GREEMENT FOR A UTOMATIC W ITHDRAWALS

(ACH DEBITS)

Frenchman’s Creek is offering the service of automatic withdrawal through Bank of America. If you would like to have your monthly balance automatically withdrawn from a bank account that you specify, please complete the attached authorization form and submit it to the accounting office, along with a voided check from your account. The Automatic withdrawal will be done on the 25 th of every month. If the 25 th falls on a Saturday or Sunday then the funds will be deducted on the following Monday . To enjoy this convenient service, please email the information: bmukuka@Frenchmanscreek.com or call (561) 273 2622.

Company Name: Frenchman’s Creek, Inc.

Company Tax I.D. Number: 59-273-4365

I hereby authorize Frenchman’s Creek, to initiate debit entries (or credit entry to adjust any debit entry made in error) to my: (please select one)

Checking Account or

Savings Account

PLEASE SELECT ONE OF THE FOLLOWING

House Account:

; Dues & Assessment Account:

; Both:

Financial Institution:

Branch:

City:

State:

Zip:

Routing/Transfer Number:

Debiting Account:

********************************ATTACH VOIDED CHECK*************************************

THIS WRITTEN AUTHORIZATION IS TO REMAIN IN FULL FORCE AND EFFECTIVE UNTIL

FRENCHMAN’S CREEK, INC. HAS RECEIVED WRITTEN NOTIFICATIONTO END ACH DEBIT.

Name: (Please Print)

Authorization Signature:

Date:

Newsletter

October 2014

19