For processing unit only Debit Day: 1st Date Entered: _____________ By: ______________________ Place voided check

here PAY RENT ELECTRONICALL FROM YOUR BANK ACCOUNT! Safe * Free * Convenient Eliminate checks and postage! Report to credit bureaus to build credit! You are in control - You can receive rent reminders in advance, block an upcoming debit, or unenroll. 1. 2. Tenant Enrollment Agreement Complete, sign, and date this Agreement. Keep a copy for your records. Place your blank, voided, permanent check at the top of this form. If you do not have checks or to debit a savings account, submit a bank statement with your name and account number or a letter typed on the banks letterhead that confirms (a) your name, (b) routing number (c) account number, and (d) type of account (checking or savings account). Be sure to write your routing number on this form. Give completed materials to your property manager/landlord or send them to MyRentFixedMyCredit.@gmail.com (as a scan or high quality photo) or mail them to MyRentFixedMyCredit.com 103 Leesburg Street, Meridianville, AL 35759. Pay rent as usual until you receive your enrollment confirmation. New Enrollment
Telephone #

3.

Mark Type of Account:

Landlord or Company Name

Bank Account Change

SSN OR EIN

Tenant Rental Property Address

City

State

Zip

Tenant Email Address (1) (for rent reminders and credit reporting) Checking Account Savings Account Routing # (9-digits) Bank Account #

I authorize MyRentFixedMyCredit.com on behalf of my property manager or landlord, to initiate debit (and if necessary, credit) entries to my propertys bank account. I understand and agree to the following:

My debit day is the 1st of each month. If the debit day is not a banking day, the debit will occur on the next banking day, and my credit day is 3 banking days later. A banking day is a business day excluding weekends and US Federal bank holidays. I will be notified of any changes to my credit day.
In addition to fees assessed to me by my bank, I may be assess a fee of $15.00 by MyRentFixedMyCredit.com for failed debits. MyRentFixedMyCredit.com will debit such fee from my bank account after providing me with at least 10-days notification.

I will be notified of changes to my rent amount at least 10-days prior to future debits. I acknowledge that debits to my bank account must comply with US law. I acknowledge that in the event of an unauthorized debit to my tenant(s), MyRentFixedMyCredit.com has the right to debit my propertys bank account to reverse that transaction. This Agreement remains in full force and effect until either I or MyRentFixedMyCredit.com terminate(s) the Agreement. I may terminate my enrollment in MyRentFixedMyCredit.com by providing 30-days prior written notification to MyRentFixedMyCredit@gmail.com , LLC at 103 Leesburg St, Meridianville, Al. 35759.
Printed Name (Must match name on check or bank letter) Date

Tenant Signature