KPG Pre-Authorized Agreement for ACH(Auto-Pay)

KPG Pre-Authorized Agreement for ACH(Auto-Pay)

KPG Accounting Services offers association members the ability to pay their association’s regular assessments and other charges using automated electronic payments. This service allows you to have regular and special assessment payment(s) deducted automatically from your checking account or savings account. Assessment payments are processed electronically through the Automated Clearing House (ACH). In order to participate in this service, association members must be current in assessments and must compete and submit this online authorization form to KPG Accounting Services, Inc.
Authorization for ACH (Auto-Pay)
Please Choose your Association*
Name*

First NameLast Name
Association Property Address*

Street Address

Street Address 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Account Type*

Checking AccountSavings Account
Routing Number (Must be 9 digits)*
Account Number*
Bank Name*
I acknowledge that payment will be taken on the 3rd day after the due date. If payment is returned, I can be terminated and be charged a $25 administrative fee*

Yes
I acknowledge that any current special assessments will be paid via ACH (Auto-Pay) unless I notify KPG Accounting Services, Inc.*

Yes
I acknowledge that I must give KPG Accounting Services, Inc. seven (7) days notice if I wish to cancel my ACH (Auto-Pay).*

Yes
Please verify that you are human*
Should be Empty:

Authorization for ACH (Auto-Pay)