AUTHORIZATION AGREEMENT FOR DIRECT PAYMENTS (ACH DEBITS) ACH Agreement Name on Account* First Last Bank Name*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Transit/Routing Number*Account Number*Consent* I authorize East Harbor to withdraw payments via ACH Show Full AgreementThe undersigned hereby authorizes East Harbor to initiate debit entries to the undersigned's account indicated above for payment of sums due in connection with their contract(s). The undersigned authorizes the debit of regular monthly payments as well as debit entries for charges where the amount and time frame varies, including, but not limited to, insurance, tax and late fee payments. The undersigned further authorizes the depository named below to charge the indicated account(s). This must be executed by an authorized signer on the Borrower's/Lessee's checking account. In the event the funds are not available in the bank account(s), noted below, on the day payment is due, it is the Borrower's/Lessee's responsibility to remit a check to East Harbor immediately in order to avoid the assessment of a late payment charge of $50. The authorization is to remain in full force and effect until East Harbor shall have received written notification of its termination in such time and in such manner as to afford East Harbor and depository a reasonable opportunity to act on it. This iframe contains the logic required to handle Ajax powered Gravity Forms.