Owner Funds Disbursement Waiver

Owner Funds Disbursement Waiver
Today's Date*

MonthDayYear
Date
Rental Property Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Owner Name*

First NameLast Name
Funds Requested for Disbursement *
Enter in the amount of funds to be disbursed to the Tenant(s)
Description of Event *
Owner Authorization:

By Signing below, I confirm that I have agreed to a disburment in the amount listed above to my Tenants residing in the rental property listed above, and authorize PropM, Inc. to distribute the funds on my behalf.

Further, I release and discharge PropM, Inc. from any further obligation or liability related to this disbursement. I understand this is a one time payment and PropM, Inc. is not liable to make any future payments in regards to this matter.
Owner Signature*

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