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ACH Form

One-Time ACH Authorization Form

I hereby authorize, The HOA Management Company, to initiate a one–time entry to my checking or savings account at the financial institution listed below and, if necessary, initiate adjustments for any transactions credited/debited in error. This authority will expire after the transaction is recorded and complete. By entering my name below I acknowledge the above statement and hereby give permission to deduct the amount I have entered below on said date.  

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2183 NW 86th Street, Suite A

Clive, IA  50325

USA

Hours :

Monday - Friday

9:00 a.m. - 5:00 p.m.

Office : 515-446-2240

Emergency : 515-360-4293

Fax : 515-505-1561

Mailing/Remittance :

PO Box 42517

Urbandale, IA  50323-0988

©2024 BY THE HOA MANAGEMENT CO.

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