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TENANT

PRE-AUTHORIZATION AGREEMENT

PLEASE COMPLETE THE FORM HERE

The Pre-Authorization Agreement is required for tenants and clients to secure the payment solution for services or tenancy. 

If you have questions regarding the agreement you can contact our office and speak to member of our team. 

PRE-AUTHORIZATION AGREEMENT
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CONTACT US

705-728-9737

  • 196 Blake St Barrie, ON L4M 1K3

PRE-AUTHORIZATION

TENANT INFORMATION


FINANCIAL INSTITUTION

I agree to the following terms & conditions:*

You confirm that you are the authorized representative of the contract and the account and also hereby acknowledge the authorization and acceptance of any Joint Account Holder related to the information provided herein. You the payor authorize Anna Moore Realty Inc. to debit the bank account identified herein for the amount provided herein each time that the value of the services you have purchased, including applicable taxes, reaches that amount. You the payor may revoke your authorization at any time in writing (by letter or email) subject of providing notice of 30 days. To obtain a sample cancellation form, or for more information on your right to cancel a PAD Agreement, contact your financial institution. You have a certain recourse rights if any debit does not comply with this agreement. For example, you have the right to receive reimbursement for any debit that is not authorized or is not consistent with this PAD Agreement. To obtain more information on your recourse rights, contact your financial institution. Anna Moore Realty Inc. 196 Blake Street L4M 1K3 Barrie Ontario 705-728-6496

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