THERE IS NO CHARGE FOR THIS SERVICE
ACH DEBIT AUTHORIZATION FORM – Trike Property Management
Resident Authorization for Recurring Direct Debit
1. Complete the Resident Address Section.
Property Manager Name
2. Complete the Bank account Information.
3. Read and Sign the Authorization portion.
4. Retain a copy of this form for your records.
5. Fax or mail the original along with a copy of a voided check from the account
the debit will be made. Fax Number: 414-332-5511
Resident Information Trike Property Management Information
Name:____________________________________ Trike Property Management
Address:__________________________________ P.O. Box 11159
Apt No.:__________________________________ Milwaukee, WI 53211
Bank Account Information
I would like the monthly rental amount to be debited from the following account:
Account Type: Checking Savings Debit
Account Holder’s Name:
Recurring Debit Start Date: Month:____________________
Day: 1st 2nd 3rd Note: Please attach a voided check and
Circle One return with this form.
Credits to be applied to 1st payment if any: Date:______________________________
I (we, if joint account) hereby authorize Trike Property Management (processor) to initiate credit/debit
entries to my (our) Checking or Savings account at the financial institution as indicated above. I (we)
acknowledge that the origination of ACH transactions to my (our) account must comply with the provisions
of the United State law. If I (we) do not have enough money in my (our) funding account to cover the
transfer or if my (our) Financial Institution for any other reason refuses to honor a transfer, I (we) will
separately pay Trike Property Management for the charges I (we) owe under this service contract.
FEE NOTICE: I (we) acknowledge and agree to a service charge that will be added to each transaction.
Furthermore, I (we) acknowledge and agree to a $ 30.00 Non Sufficient Fund charge, should there not be
enough money in the funding account and the ACH charge is declined and / or returned.
This authorization is for the recurring monthly debit of the rental amount and service charge as indicated
above, and is to remain in full force and effective until we have received written notification from you (or
us) of its termination in such time and in such manner as to afford the Financial Institution and us a
reasonable opportunity to act on it. We deem this to be seven (7) days. You may cancel this agreement at
any time by faxing (414-332-5511) or mailing a written request to our leasing office.
Trike Property Management reserves the right to cancel this agreement at any time.