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									              Parker Tower Condominium Association, Inc.
                          3140 S Ocean Drive
                       Hallandale Beach, FL 33009
Unit # _______________


   AUTHORIZATION AGREEMENT FOR AUTOMATIC DEBITS (ACH DEBITS)


I (we)______________________________ hereby authorize Parker Tower Condominium
Association, Inc., hereinafter called COMPANY, to initiate debit entries and to initiate, if
necessary, credit entries and adjustments for any debit entries in error to my (our) _____
Checking _____ Savings account (select one) indicated below and the depository
named below, hereinafter called DEPOSITORY, to debit and/or credit the same to such
account in amounts to $__________________.


BANK NAME _________________________________________________________
CITY ___________________________ STATE _______________ ZIP ___________
TRANSIT/ABA NO. ________________ ACCOUNT NO. ___________________


This authority is to remain in full force and effect until COMPANY has received written
notification from me (or either of us) of its termination in such time and in such manner
as to afford COMPANY and DEPOSITORY a reasonable opportunity to act on it.


NAME(S) ___________________________ ID NUMBER ______________________
              (PLEASE PRINT)


DATE _________________        SIGNED X _____________________________________


                              SIGNED X _____________________________________




                        ***** ATTACH A VOIDED CHECK*****




Phone: 954-454-4366                                                  Fax: 954-457-4907
E-Mail: ParkerManager@gmail.com

								
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