Rules
for the Direct Debit Program
By
signing this form, you are agreeing to the rules of this program.
1. You MUST
continue to mail in your payments until you receive a confirmation letter
letting you know you have been set up on the program. Audits
are performed each month to refund overpayments for mail delay of confirmation
letters.
2. Forms must be
received by the 10th of each month in
order to be processed for the following months debit. (Accounts must have a
zero balance at that time.)
3. Your account can not
be set up on the Direct Debit program unless you have a zero
balance on your account.
4. You must attach a
voided check from a checking account in
order to be able to participate in the program.
5. Faxed forms are not
accepted. We must receive the original in
order to be able to begin the process of setting you up in the program.
6. Your account must maintain
a zero balance. If you have a balance (due to late fees or NSF debits)
on your account for more than 30 days you will a.) Be sent a 30-day demand
letter b.) Be taken off the program at the 30th day if the balance is not paid.
7. No more than 2 NSF's a year will be
allowed in order to stay on the program.
8. KPA must be notified
in writing 5 business days prior to the end of the month to discontinue the
debit to your account. ** If not notified in writing and a stop payment
occurs, you will be responsible for the NSF fee.** The fax number is
(703)532-5098.
9. If you would like to change the
authorized Bank Account on file, you will need to fill out a new form and go
through the process as though you were a first time participant. It may take up
to 4 weeks to process the new account information.
10. KPA will only deduct
the amount of your Homeowners Association Assessment. If you would like
additional amounts to be debited from your account, you must notify us in
writing.
AUTHORIZATION AGREEMENT FOR PREAUTHORIZED PAYMENTS
COMPANY NAME : WINDGATE
II
COMPANY
ID NUMBER: 54-1182440
I (We)
hereby authorize WINDGATE II hereinafter called COMPANY, to initiate
debit entries to my (our) checking account indicated below, and bank depository
named below, hereinafter called DEPOSITORY, to debit the same to such account.
(1) DEPOSITORY NAME________________________BRANCH___________________CITY____________________
(2) TRANSIT/ABA #____________________________________
(3) ACCT. # _________________________________ (Contact
your bank for this number)
This authority is to remain in full force and effect until COMPANY has received written notification from me (or either of us) of its termination in such time and in such manner as to afford COMPANY a reasonable opportunity to act upon the request. I further understand that payments will be deducted on the first of the month in which the assessment is due.
NAME
(S)___________________________________________________________________________________________
ON-SITE
ADDRESS (ES)____________________________________________________________________________
MAILING
ADDRESS_________________________________________________________________________________
See
Back of form for rules before signing this agreement.
DATE___________________________
SIGNATURE_______________________________________________________
DATE___________________________
SIGNATURE_______________________________________________________
* * * * * * PLEASE ATTACH A VOIDED
CHECK * * * * * *
**Deduction
begins the first of the month about four (4) weeks from receipt of this authorization.
You will receive a confirmation letter the week prior to the effective date.
**Continue to mail in your payments until you receive the letter of
confirmation.
**Any items not
completed may result in the return of your request.
**You may call (703)
532-5005, Ext. 45 with any questions.
**Please fill in your
current phone numbers:
Office:_______________________________________
Home:________________________________________________
**Return
to: KPA, Inc. – Automatic Debit Department
6400
Arlington Boulevard, Suite 700
Falls
Church, Virginia 22042