AUTO-PAY ENROLLMENT DIGITAL CLOSING

AUTO PAY ENROLLMENT
CONTRACT OR LAST FOUR OF SOCIAL
BUYER'S FULL NAME*
BUYER'S PHONE*
BUYER'S EMAIL*

FORM OF PAYMENT TO BE USED*

DEBIT CARDMASTERCARDVISABANK DRAFT
NAME ON CARD (Must Match Buyer)*
CARD NUMBER*
EXPIRATION DATE
SECURITY CODE*
NAME OF BANK*
ACCOUNT NUMBER*
ROUTING NUMBER*

AUTO PAYMENTS SHOULD BEGIN*

THE DATE MY NEXT PAYMENT IS DUEOTHER DATE (Select Below)
DATE AUTO PAYMENTS SHOULD BEGIN*

MonthDayYear
Date
I AM AUTO PAYING (Click ALL that)*

MY REGULAR NOTE PAYMENT AND CPI COVERAGE (IF APPLICABLE) (We always confirm the amount prior to the first draft)SIDE NOTES FOR REPAIRS (IF APPLICABLE) (We always confirm the amount prior to the first draft)BOTH MY REGULAR NOTE PAYMENT & ANY SIDE NOTES

IS THE ADDRESS ASSOCIATED WITH THIS FORM OF PAYMENT THE SAME AS THE ADDRESS YOU PROVIDED FOR THIS DIGITAL CLOSING?*

YESNO
ADDRESS ASSOCIATED WITH THE CARD OR BANK ACCOUNT*

AUTHORIZATION
I have read and agree to all the terms and conditions above

PLEASE NOTE: Your account manager will contact you shortly to obtain the form of payment and confirm the details of your enrollment in Auto Pay.
ACCOUNT HOLDER

{buyersFull}
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BUYER'S SIGNATURE (ACCOUNT HOLDER)
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