1058 Piedmont Ave Atlanta, GA 30309

AUTO DEBIT FORM

WANT TO SAVE TIME AND POSTAGE COST?

Save time and postage next month and every month. Just complete this form and sign it.
Be sure to include a voided check to insure accuracy in setting up your account.
Auto Debit is deducted between the 8th and 10th of every month.

Your Name:____________________________________________

Your Unit Account #:_____________________________________

Name of Bank: __________________________________________

Location: _______________________________________________

Routing #_______________________________________________

Checking account #_______________________________________

Beginning with the payment due on:__________________________

Signature________________________________________________

Mail this form and a voided check back to:

Attention: Accounting Department

Heritage Property Management
500 Sugar Mill Road
Building B, Suite 200
Atlanta, GA 30350-28870

You may also FAX this form and copy of voided check to 770-451-3919 to the
attention of the Accounting Department.

LOFTS @ THE PARK II

CONDOMINIUM ASSOCIATION, INC.
loftsattheparkii@gmail.com