AUTHORIZATION AGREEMENT FOR DIRECT PAYMENTS

(ACH DEBITS)

Note: A voided check must be attached to this form to be processed Properly

I (we) hereby authorize ___________________________________________ _________, hereinafter called Windsor Gardens Association to initiate debit entries to my (our) Checking Account or Savings Account (select one) indicated below at the depository financial institution named below, hereinafter called “Depository,” and to debit the same to such account for the purpose of collecting assessments for my community association. I (we) understand that this debit will occur on or about the ______ of each month in which assessment payments are due. I (we) acknowledge that the origination of ACH transactions to my (our) account must comply with the provisions of United States law.

Depository Name:__________________________________________ Branch: ______________________________

City: ____________________________________________________   State:__________________ Zip: __________

Routing Number (9 digits):____________________________ Account Number: ___________________________

This authorization is to remain in full force and effect until Windsor Gardens Association has received written notification from me (or either of us) of its termination in such time, and in such manner, as to afford Company and Depository a reasonable opportunity to act on it.

Windsor Gardens Association

 Name(s):  _________________________________________    ____________________________________________

                              (Please print)                                                 (Please print)

Signature(s):________________________________________  ______________________________________________

Date:                                                                                          

Note: A voided check must be attached to this form to be processed Properly

Please return Form and voided check to:

  Windsor Gardens Association
 595 S. Clinton Street
  Denver, CO 80247

Management Company Use Only:_________________________________________________________

Homeowner Account Number:_________________________

Date entered: _____________________________