ACH Credit/Debit Authorization Form

I (we) hereby authorize Cedar Creek Realty LLC (The Company) to initiate a (select one: CHARGE______ or CREDIT ______) entry to my (our) checking/savings account at the financial institution indicated below, and initiate adjustments (if necessary) for any transactions credited/debited in error. This authority will remain in effect until The Company is notified by me (us) in writing to cancel it in such time as to afford The Company and Financial Institution a reasonable opportunity to act on it.

Name of Financial Institution

Location (City and State)

Financial Institutions Routing/Transit Number (9 digits) __ __ __ __ __ __ __ __ __ Checking Account Number Or Savings Account Number , 200 Customer Signature Customer Name (Please Print) Customer Address
_________________________________________________________________________________________________

Date __ __ __ - __ __ __ - __ __ __ __ Telephone Number including area code

_________________________________________________________________________________________________

Customer Email Address If your account is being charged (debited), you may select one of the following: Set Amount Maximum Amount $ $ (may be changed periodically by company) (amount not to be exceeded)

Please attach a copy of a Canceled Check with correct Routing/Transit and Account Number There are no valid routing/transit numbers beginning with any number higher than three This form is provided as a sample form only. The company should consult its legal advisors before using this form.

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