Cedar Valley Property Management
Resident Accounts

ACH / Bank Debit Authorization

Authorize Cedar Valley to debit your bank account electronically for rent and resident charges. Complete and return this form to set up direct debit.

Account holder
Priya N. Raman
(555) 671-0934
Birchwood Apts — Unit 214
Bank account
Cedar State Bank
121000358
000412785530
Checking Savings Business
Amount & schedule
$1,850.00
Recurring monthly
July 1, 2026
Cancelled in writing
Monthly rent + utilities reimbursement
Authorization

ACH DEBIT AUTHORIZATION

I authorize Cedar Valley Property Management to initiate electronic debit (ACH) entries from the bank account identified above for the amount and on the schedule indicated, and to credit corrections if needed. I certify I am an authorized signer on this account.

This authorization remains in full force until Cedar Valley receives written notice of its termination at least 5 business days before the next scheduled debit. Revoking it does not cancel charges already owed.

I have read and agree to this ACH debit authorization.
Omar Haddad
Account holder signature
June 17, 2026
Date

Cedar Valley Property Management · Resident Accounts · Bank details are stored securely and used only for authorized debits.