ELECTRONIC FUNDS TRANSFER AUTHORIZATION

ELECTRONIC FUNDS TRANSFER AUTHORIZATION
In an effort to provide a more secure method than mailing checks through the USPS, Bell & Associates Property Management offers vendors the ability to receive payments electronically via ACH. There is no cost to the vendor for this service. You will receive an email after payments are transmitted to your bank. Funds generally arrive in your bank account within 4 business days.
NAME (AS IT APPEARS ON ACCOUNT)*
ADDRESS (AS IT APPREARS ON THE BANK STATEMENT)*

Street Address

Street Address Line 2

CityState

Zip Code
ROUTING NUMBER*
ACCOUNT NUMBER*
BANK NAME*
SIGNATURE AUTHORIZING ACH TRANSACTIONS

Powered by Jotform SignClear
DATE*

MonthDayYear
Date
PRINTED NAME*
TITLE*
Email*
example@example.com
Phone Number
Please enter a valid phone number.
WHERE DO YOU FIND YOUR ROUTING NUMBER AND ACCOUNT NUMBER?
Should be Empty: