Skip to content
Pay Pro Management
Menu
Close
Home
Sign In
ACH Payment
Credit Card Payment
Contact
AUTHORIZATION AGREEMENT FOR DIRECT PAYMENTS (ACH DEBITS)
Please enable JavaScript in your browser to complete this form.
Name on Account
*
First
Last
Email
*
Bank Name
*
Address
*
Transit/Routing Number
*
Account Number
*
Consent
*
I authorize Pay Pro Management to withdraw payments via ACH
The undersigned hereby authorizes Pay Pro Management to initiate debit entries to the undersigned's account indicated above for payment of sums due in connection with their contract(s). The undersigned authorizes the debit of regular monthly payments as well as debit entries for charges where the amount and time frame varies, including, but not limited to, insurance, tax and late fee payments. The undersigned further authorizes the depository named below to charge the indicated account(s). This must be executed by an authorized signer on the Borrower's/Lessee's checking account. In the event the funds are not available in the bank account(s), noted below, on the day payment is due, it is the Borrower's/Lessee's responsibility to remit a check to Pay Pro Management immediately in order to avoid the assessment of a late payment charge of $50. The authorization is to remain in full force and effect until Pay Pro Management shall have received written notification of its termination in such time and in such manner as to afford Pay Pro Management and depository a reasonable opportunity to act on it.
Submit