ACH Information ACH Form Submissions Vendor Information Section VENDOR INFORMATION Legal Name of Company * Contact Name * Contact Name First Name First Name Last Name Last Name Phone # * Email * Authorization Agreement Section AUTHORIZATION AGREEMENT Bank Name * Routing Number * Account Number * Payment Confirmation Email (if different than above) By submitting this information, you hereby authorize HOALiving (including owned management brands) to use the information provided to initiate and set up ACH transactions on your behalf in accordance with applicable laws and regulations. I agree not to hold HOALiving responsible for any delay or loss of funds due to incorrect or incomplete information supplied by me or by my financial institution or due to an error on the part of my financial institution in depositing funds to my account. This agreement will remain in effect until HOALiving receives a written notice of cancellation from me or my financial institution, or until I submit a new ACH authorization form to the Accounts Payable department. Requestor's Name * Title * For your security, the details of your private information will be visible to the HOA Living admin team only once and then permanently deleted. We will not be able to retrieve this data in the future, and you will need to resubmit it if required again. Submit ACH If you are human, leave this field blank. Δ
