Performance Property Management
Authorization Agreement for Direct (ACH) Payments
Resident / Account Name: __________________________________________________________
Property Address: ______________________________________ City ______________________
I/We hereby authorize Performance Property Management, hereinafter referred to as Agent, to initiate
debit entries (deposits) to my/our
(check one) ______ Checking Account ______ Savings Account
indicated below at the depository financial institution (Bank) named below, hereinafter referred to as
DEPOSITORY, and to debit the same to such account. I/We acknowledge that the origination of ACH
transactions to my/our account must comply with the provisions of U.S. Law.
Depository (Bank) Name: _________________________________________________
Branch: ______________________________
City: _____________________________ State ____________ Zip ________________
Routing Number: ___________________________________
Account Number: ___________________________________
This authorization is to remain in full force and effect until Agent has received written notification from me
(or either one of us) of it’s termination in such time and in such manner as to afford Agent and Depository
a reasonable opportunity to act on it.
st nd rd th th
I/We would like our payment to be withdrawn on the (circle one) 1 2 3 4 5 day of each
month that it is due.
Date: ____________ Signature: _______________________________________________________
Attach a voided check here:
P.O. Box 26822 Fresno, CA 93729 (559) 435-8266 Fax (559) 435-8267
Web: www.Performancerents.com