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Truist Ach Form

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Truist Association Pay (ACH) Authorization

Truist Association Services Phone: 727-549-1202 or Toll Free Phone: 888-722-6669


Toll Free Fax: 866-297-8932 Email Address: ASDAutopay@Truist.com

Sign up to automatically pay your association payment from your checking or savings account at any U.S.
financial institution. We are unable to accept authorizations for accounts located outside of the United States.

Enroll online through the 25th of the month to be effective for the next debit month by visiting Truist.com/Payments. If your
association is not set up for online enrollment, complete the authorization form below. Complete a separate authorization
form for each payment obligation.

To enroll by U.S. mail - Complete the authorization form below and attach a voided check. Mail form to Truist Association
Services, P.O. Box 2914 Largo, FL 33779-2914. Continue to make your payments until you are notified by the bank when
your automatic payment will start.

Association Pay Terms and Conditions:


 You are enrolling in Association Pay to authorize recurring payments through electronic funds transfers by ACH debit
entries.
 When your payment is due, your account is debited automatically on the 3rd of the month. If the 3rd is on a
weekend or holiday, your account is debited the next business day.
 Payments will appear as your full or abbreviated Association Name on your bank statement.

Paper authorizations must be received by the 20th of the month to be effective for the next debit month. If the 20th falls on a
weekend or holiday, the deadline is the last business day prior to the 20th. This Authorization will remain in effect until Truist
receives written notice from you or your association or its management company to cancel or change it. You hereby authorize
Truist to accept changes in amounts or account information or cancellation of this Authorization from the association or its
management company. Notice from you must be in writing and sent to the address referenced below or faxed to Truist Toll
Free Fax: 866-297-8932. Notice must be received by Truist on or before the 27th of the month to be effective for the next debit
date. When the 27th of the month falls on a weekend or holiday, the deadline is the last business day prior to the 27th. Some
exceptions apply; visit Truist.com/Payments to view the Association Pay deadline calendar. You may print a Cancel or Change
Request for Association Pay from the Truist Online Payment System or online at Truist.com/Payments. All payments initiated
for debit are subject to acceptance by the designated financial institution. All ACH transactions authorized herein must comply
with applicable U.S. law. Your completion of this authorization form indicates your agreement to be bound by the NACHA
Operating Rules. For questions, contact Truist Association Services Toll Free at 888-722-6669. Doc ID# 109
Truist Bank, Member FDIC.
Keep top section for your records
Mail enrollments, cancels or changes to Association Pay: Truist Association Services – P.O. Box 2914, Largo, FL 33779-2914

Attach voided check when applicable Association Pay (ACH) Authorization Return bottom section

Association or Community Name: ______________________________________________ Unit No. ____________________

Bank Account Owner Name_______________________________________ Phone ____________________________________

Mailing Address ___________________________________ City ___________________ State _________ Zip____________

Property Address ___________________________________ City ___________________ State ________ Zip____________

Bank Name____________________________ Bank Routing No._____________________

Checking Savings Account No.___________________________ Check box if account to debit is a business account.

By signing this authorization, you agree to the following: 1) I have read and agree to the Terms and Conditions provided and 2) I am authorized to initiate
transactions on the account provided. I authorize a) the above named association to debit/credit the account to process my association payments b) Truist to
initiate electronic funds transfers by ACH debit/credit entries to the account for the purpose of processing those payments and c) the financial institution to
withdraw and/or credit payments from/to my account. Doc ID# 109

SIGNED __________________________________ DATE ________________

Email___________________________________________________ Effective Month for ACH to start__________________________

BILL PAY ACC#: SERIAL #: Unit #: FREQ: GROUP #:

Revision 10/2021

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