Grayson Property Management
This form acts a official notice for all future payments due. Resident is responsible to communicate to Management any changes in his/her account and allow 48 hours for changes. Cancelling the account or placing a stop order while monies are due to management will result in a $50 NSF fee and is considered a breach of this contract.
Name on Checking Account* Rental address (street) * City, state, and zip * Email * Landline Cell phone* Cell phone #2
Name of bank* Bank street address Bank city, state, and zip Bank phone Routing number* Account number*
Click here for help finding these numbers
A picture of a voided check or deposit slip is required to complete this form. You can upload your picture here or text it to 812-373-6401. An official letter from your bank showing your account information will also be accepted.
Use this box to attach a picture
AutoDraft Payment Terms: In consideration of extending credit, (i.e. unpaid rent, repairs, etc) we reserve right to deposit a bank draft to pay past due and other unpaid invoices & late fees. If bank draft(s) are returned for any reason you agree to pay a $50 NSF fee plus late fees. These terms supersede all other previous verbal or written agreements between parties. If you do not agree with these terms or lack authority to accept them, return goods (or vacate property) within 10 days to Point of Origin. Cancelling this account or placing a stop order while monies are due to management is considered a breach of this lease and a crime with possible jail time.
Please type your full name into this box. By typing your full name, you are digitally signing this payment form and granting permission to allow Grayson Management to bill you using the above information. You also agree that you have read the Autodraft Payment terms and agree to them.
Remember: as a final step, if you did not upload a picture of your bank account information then you will need to text a picture to 812-373-6401.
