Set up direct deposit

ACH/DIRECT DEPOSIT PAYMENT AUTHORIZATION FORM

BILLING INFORMATION

Name as it appears on your bank account *

Bank *

Routing # *

Account # *

ACH/DIRECT DEPOSIT AUTHORIZATION *

Weekly
Bi-weekly
Monthly

Custom date *

I certify that I am authorized owner of the above reference account and therefore authorize Kay's Peaceful Living or their authorized transaction agent(s) to charge my bank account indicated above for the rent/payment on today's date.

Signature *

Print name/Title *

Important Notice In order to cancel this recurring ACH/direct deposit transactions, a notice of at least (10) business days prior to the next payment period is required.