Magnolia Park Welcome Packet

Automatic Transfer Authorization

To: Merritt Properties, LLC

Attention: Lease Administration

You are hereby authorized to charge the undersigned’s bank account number __________________, for the rental payments as the payments become due on the lease dated _________ ____, 20___, between _______________________ [landlord name] and __________________________ [tenant name].

A voided check from the account is attached.

Month requested for first rental payment auto debit: __________________________

Day of the month account will be debited as agreed to in your lease: _______

Amount of the payment shall be immediately payable by Tenant, as well as any late charges, which may become due.

This authorization shall remain in full force and effect until written revocations have been received.

__________________________________

MERRITT ACCOUNT# - ______________________

[Tenant Name]

By: _______________________________

__________________________________________ Print Name

Title: ______________________________

Tenant certifies that the account designated above is in the Tenant’s name and the signer above is an authorized user on this bank account.

To receive a statement via e-mail when a transaction has been processed please complete the following:

___________________________________

____________________________________________

Name

E-mail address

If you should have any questions regarding this program, please contact our Lease Administration Department at leaseadmin@merrittproperties.com or 410-298-2600.