ACH Authorization

Direct Payment via ACH is the transfer of funds from a consumer account for the purpose of making a payment. I/We hereby authorize Creative Investments, LLC to electronically debit my/our account (and if necessary, to electronically credit my/our account to correct erroneous debits).*
- Checking Account
- Savings Account
Name(s) on Account*
First Last
Name(s) on Account
First Last
Bank or Depository Name*
Routing Number*
Account Number*
Rent Amount*
Day of Month Due*
Please enter a number from 1 to 31.
Frequency set to monthly.
I/We understand that this authorization will remain in full force and effect until I/we notify Creative Investments, LLC in writing by mail to 4736 S Glenhaven, Springfield MO 65804. I/We understand that Creative Investments, LLC requires at least 10 business days prior notice in order to cancel this authorization.
E-Signature - By entering my name and dating below, I acknowledge I have read the above authorization and agree.*
First Last
E-Signature - By entering my name and dating below, I acknowledge I have read the above authorization and agree.
First Last
Date*
MM slash DD slash YYYY
Date
MM slash DD slash YYYY
Phone
This field is for validation purposes and should be left unchanged.