USE THIS FORM TO PAY YOUR FEES AUTOMATICALLY
THE CO-OP DOES NOT CHARGE ANYTHING FOR THIS SERVICE

 


                                                          
                            AUTHORIZATION AGREEMENT FOR PREAUTHORIZED DEBITS


SHAREHOLDER NAME(S) _______________________________________ ("Owner")

APARTMENT NUMBER ___

1.   The Owner

    (A)   authorizes Tudor Realty Services Corp. ("Debiting Party")as Agent for 350 Bleecker 
          Street Apartment Corp. (the "Building") to initiate Automated Clearing House (ACH)
          debit entries from the Owner at the Owner's depository ("Depository") identified in 
          Section 2, below, for deposit into the Building's account at Citibank, in amounts as
          provided in the monthly billing of charges sent to the Owner from the Debiting Party, 
          as Agent for the Building, and

    (B)   authorizes the Depository to debit said entries to the account identified in section 2 below.


2.   Depository (Bank) Name (THE NAME AS LISTED ON OWNER'S CHECKING ACCOUNT)

     _________________________________

     The account number and account name(s) are as shown on the void check that is attached to 
     this form. (Please write VOID across the front of a blank check.  Do not sign the check.)

3.   This authorization is to remain in full force and effect until the Debiting Party or the 
     Depository have received written notification of its termination of same in such time and in
     such manner as to afford the Debiting Party and the Depository a reasonable opportunity to act on it.


Owner:___________________________	Telephone No.: ________________________

Date:______________________

ATTACH COPY OF CHECK MARKED "VOID" TO THIS FORM.
FAX FORM AND VOIDED CHECK TO TUDOR MANAGEMENT, 212-557-9329



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350 Bleecker Street Apartment Corp.
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