Authorization for Direct Payment via ACH

Authorization for Direct Payment via ACH (ACH Debit) by Key Community Management

Direct Payment via ACH is the transfer of funds from a consumer account for the purpose of making a payment. This option is only available for assessments that are billed monthly or quarterly. Please allow 15 days for your request to be implemented.

Community *

Name *

First

Last

Property Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Depository Name *

ACH Consent *

By checking this box, I (we) authorize Key Community Management to electronically debit my (our) checking account (and, if necessary, electronically credit my (our) checking account to correct erroneous debits¹) at the depository financial institution (“DEPOSITORY”). I (we) agree that ACH transactions I (we) authorize comply with all applicable law.

Amount of debit(s) equals the monthly or quarterly assessment amount for the current calendar year for the association of which I am a member. The debit will be processed on each established due date.

I (we) understand this authorization will remain in full force and effect until I (we) notify COMPANY in writing at info@keycmi.com or 1201 Stallings Road, Matthews, NC 28104, that I (we) wish to revoke this authorization. I (we) understand that COMPANY requires at least 30 days prior notice in order to cancel this authorization.²

Full Name(s) *

A copy of a voided check must accompany this completed form.

Please attach a voided check or proof from your bank of your account number and routing number by uploading below.

File Upload *

Click or drag a file to this area to upload.

Message

¹ The NACHA Operating Rules do not require the consumer’s express authorization to initiate Reversing Entries to correct erroneous transactions. However, Originators should consider obtaining express authorization of debits or credits to correct errors.

² Written debit authorizations must provide that the Receiver may revoke the authorization only by notifying the Originator in the time and manner stated in the authorization. The reference to notification should be filled with a statement of the time and manner that notification must be given in order to provide company a reasonable opportunity to act on it (e.g., “In writing by mail to 100 Main Street, Anytown, NY that is received at least three (3) days prior to the proposed effective date of the termination of authorization”).