I,   First Name   Last Name , owner of the property located at:

   
Street Address*      City*   State*

 Zip*   

do  hereby authorize H&E Property Management LLC, (COMPANY), as agent for    

COMMUNITY / ASSOCIATION* , to initiate debit entries and to initiate, if necessary, credit entries and adjustments for any debit entries in error to my  Please Select Checking Savings *account indicated below, and the depository (DEPOSITORY), to debit and/or credit same to such account. I (we) acknowledge that the origination of ACH transactions to my (our) account must comply with the provisions of U.S. law.

DEPOSITORY NAME*     CITY*    STATE*   ZIP* 

ROUTING / ABA NUMBER*   ACCOUNT NUMBER*    $ AMOUNT    

The authority is to remain in full force and effect until COMPANY/INDIVIDUAL has received written notification from me (or either of us) of its termination in such time and in such manner as to afford COMPANY/INDIVIDUAL and DEPOSITORY a reasonable opportunity to act on it.

I understand that because this is an electronic transaction, these funds may be withdrawn from my account as soon as the date indicated below. In the case of the payment being rejected for Non-Sufficient Funds (NSF) I understand that COMPANY may at its discretion attempt to process the charge again within 30 days, and I agree to an additional charge of $25.00 penalty fee for each attempt returned NSF, which will be initiated as a separate transaction from the authorized payment. I acknowledge that the origination of ACH transaction to my account must comply with the provisions of U.S. law. I will not dispute COMPANY's billing with my bank so long as the transaction correspondent to the terms indicated in this agreement.

Excluding weekends and federal holidays, transactions will be initiated within the due date guidelines of your association.

First Name   Last Name     Date*