Paul Schweikert

Name*

First NameLast Name

Are you an owner or tenant?

Rental Property Address

Email

example@example.com

Phone 1

Account Number

Routing Number

Payment Amount

**Type of Account***

Please be aware that your account will also be billed $1 above the amount you have listed above as a convenience fee.

By signing below here I state that all information is accurate and that I am aware that electronic payments will be withdrawn from my bank checking or savings account automatically within 24 business hours upon receipt of the completed form. If there are not sufficient funds in my account or inaccurate information was provided, there will be a $35 fee assessed to cover bank charges plus any additional charges covered in my lease agreement. I am also aware that the 3rd party processor of these funds does charge a $1 fee for this service. *