Case File
efta-efta00283801DOJ Data Set 9OtherDS9 Document EFTA00283801
Date
Unknown
Source
DOJ Data Set 9
Reference
efta-efta00283801
Pages
2
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
- •
•
Credit or Debit Card Authorization Form
(One Time Payment Only)
Property Name ("Landlor.
NI\tu6
Resident/Applicant Name
Property Address ('teased Premises,:
Unit #
W a(L,,C)
O
XIS
by authorize and agree to allow Aspen Square Management, Inc., on behalf of the Landlord, to charge
/ MasterCard / Debit (CIRCLE ONE).
Name on Credit/Debit Card
Address
City
State
Zip
Credit/Debit Card Number
Expiration Date
Amount
s w -.°73)
Reason for Payment
Signed this
J
day of Ni
2011
Resident/Applicant:
T anfilord / Landlord's Agent:
ASPENSQUARE
•CAn•GSvtki
-cox \:act
EFTA00283801
May. 7. 2014
1:44PM
'0. OD,
E.SERVICES AUTHORIZATION FORM
Property NameC=":\/\,.-12. \I\ 0.1.) CO! vi9a_c3 Cite
(Company Name)
ES4089
L tSIS
-.5(1)
%
( ProPerbil0
umt. \\o1 ;ti
`Office° E.SentiCes
Minimum Monthly Payment Amount
Date of t aPayment
Date of Last Payment
Rent and other charges up tot
Frequency of Payment
K Monthly on the
1st
(See Manager for other optionS)
•
Last Name
First Name
Address
City
State
Tip
I
CHECKING/SAVINGS
Please debit payments from my (check one):
0
Savings Account (contact your &sandal institution for Routing li)
Q Checking Account (attach a voided check)
Financial Institution Name
Routing Number
Valid Routing emust
Account Number.
Cann% in /21411r
1.—......„_
start rife 4 1, Z or 3
MCI
L.—I
I
..ClidtlIonier
LAisesatlaitdt
ant
Name on the Account
I authorize the above company to process debit entries to my account I understand that this authority will remain in effect
until I provide reasonable notification to terminate the authorization.
Authorized Signature:
Dote:
ELECTRONIC PAYMENT CANCELLATION _1 with to =cal electronic payment
Authorized signemre on my exottht
" Please note that i t tatter several bust ass days to process this informaaon, therefore, you cancel this less than five (5) days
prior to Sib's: of the month, the deduction will not cease we the following month. The last amorist:tic deduction will be Mew month of
Q. What is EServices electronic payment? A Electronic payment IS automatic bill payment whereby your payment is deducted
automatically from your theCking or savings account
a How can you transfer money from my account? A. Only with your authorization.
Q. When is the electronic payment transferred from my account? A. On the first of the month. You never have to worry about
forgetting a payment or mailing it in on time.
Q. Without a cancelled check, how can I prove I made my payment? A. Your bank statement gives you an itemized Ost of
electronic payments. It is your proof of payment
Q. Is electronic payment risky? A Electronic payment is less risky than chetk payment. It cannot be lost, stolen or destroyed in
the mail.
Q. What if I change bank accounts? A Notify the Management office and we will give you a new Electronic Payment
Authorization Form to complete.
Q. How much does electronic payment cost? A. It costs you nothing. Plus, you save on the cost of stamps, checks and
envelopes.
O. What if I try electronic payment & I don't like it? A. You can cancel your authorization by tilling out an Electronic Payment
Authorization Form anytime.
EFTA00283802
Technical Artifacts (1)
View in Artifacts BrowserEmail addresses, URLs, phone numbers, and other technical indicators extracted from this document.
SWIFT/BIC
CHECKINGForum Discussions
This document was digitized, indexed, and cross-referenced with 1,400+ persons in the Epstein files. 100% free, ad-free, and independent.
Annotations powered by Hypothesis. Select any text on this page to annotate or highlight it.