400 Carillon Parkway, Suite 125, Saint Petersburg, FL 33716 – 877.205.7125 – www.dwightcapital.com
Authorization Agreement for Pre-Authorized Payments
(Direct Debits for Collection of Payments)
I, (Authorized Representative Name “ “), of
(Borrower Entity Name “ “) hereby authorize
Dwight Capital LLC, hereinafter called “Servicer,” to initiate debit entries to the account
described below (the “Account”) on a monthly basis as billed by Servicer, in repayment of
Dwight loan number (Loan Number “ ”), hereinafter called
“Loan,” secured by a mortgage on the property located at (Property Name and Address
“ ”).
Financial Institution Account Holder Name
Address of Financial Institution (including City, State, Zip)
Routing Number Operating Account Number
****Please attach a copy of or a voided check****
***Please verify ACH Routing Number with your Bank****
T
his authority shall remain in effect until it is terminated by 60-day advance written notice to
Servicer or the Loan is repaid in full.
Authorized Signature
Authorized Signer’s Name/Title
Date
P
lease return this completed form to servicing@dwightcap.com
or mail to the address below
no later than August 15, 2021:
Dwight Capital LLC
Attn: Servicing Department
400 Carillon Parkway, Suite 125
Saint Petersburg, FL 33716
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signature
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