Direct Deposit Enrollment Form printable pdf download

DIRECT DEPOSIT ENROLLMENT FORM

The undersigned, hereinafter called “Owner”, is now authorizing Sperry Van Ness|Southern Commercial

Real Estate, LLC to make direct deposit (EFT) payments for his/her/its rental income to the financial

institution and owner account as designated below. Owner agrees that electing to participate in EFT

payments will not amend any lease agreements or listing agreements between Sperry Van Ness|Southern

Commercial Real Estate, LLC and Owner. This agreement simply allows for EFT payments in lieu of paper

check payments.

Owner agrees to give at least thirty (30) days advance written notice of any change in the payment

instructions shown below. Owner agrees that any changes to their mailing address will continue to be

submitted in writing to Sperry Van Ness|Southern Commercial Real Estate, LLC. Owner agrees that

Sperry Van Ness|Southern Commercial Real Estate, LLC will not be held liable for any interest or other

claims arising as the result of Owner’s failure to provide written notice of any payment instruction

changes. Owner also releases and agrees to indemnify and hold Sperry Van Ness|Southern Commercial

Real Estate, LLC harmless for any loss, claim, damage, or interest incurred as the result of Owner’s

depository institution’s failure to properly or promptly post any EFT payment and/or as a result of any

error or omission in the payment instructions provided by or on behalf of Owner. Owner understands and

agrees that Sperry Van Ness|Southern Commercial Real Estate, LLC will have up to ninety (90) days after

receipt of this form to process the EFT request.

Request Type:

New Application Request

Change Request

Cancellation

Please complete the following information and attach a voided check. If additional space is need for

leased property locations, please add to the back of the form.

Owner’s Name

SS#/EIN #

Phone #

Owner’s Address

City

State

Zip

Leased Property Address(s)

Bank Name

Name on Account

ABA Routing #

Bank Account #

Checking

Savings

Signature of Owner or Authorized Representative

Date

Please mail your completed form along with a voided check to:

Sperry Van Ness|Southern Commercial Real Estate, LLC

1926 India Hook Road

Rock Hill, SC 29732

1 9 2 6 I n d i a H o o k | R o a d R o c k H i l l S C 2 9 7 3 2 | 8 0 3 - 3 2 5 - 1 0 0 0 | F a x : 8 0 3 - 3 2 5 - 1 2 1 4 | w w w . s v n - s c r e . c o m

S p e r r y V a n N e s s i s a r e g i s t e r e d t r a d e m a r k o f S p e r r y V a n N e s s I n t e r n a t i o n a l C o r p o r a t i o n .

A l l o f f i c e s a r e i n d e p e n d e n t l y o w n e d a n d o p e r a t e d .

Direct Deposit Enrollment Form

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