PPT - Payment Processing Trust

P.O. Box 136932   |   Fort Worth, Texas 76136   |   682-710-2006

PaymentProcessingTrust.com   |   BankDraft@PaymentProcessingTrust.com

ACH RECURRING PAYMENT
AUTHORIZATION
Submitted Data Is Protected Using 256-Bit Encryption
Uploaded documents and photographs are transmitted securely with SHA-256 digital fingerprints used to verify file integrity

Just complete and sign this form to get started.

Recurring Payments Will Make Your Life Easier:
• It is convenient, saving time and postage.
• Your payment is always on time, even when you are out of town, helping eliminate late charges.

Here’s How Recurring Payments Work:
I authorize Payment Processing Trust a/k/a PPT to initiate recurring ACH debits from the bank account identified below for rent and other recurring amounts payable under my signed Lease. The amount and frequency of each debit, and the dates on which payments are due, will be determined by the terms of my then-current Lease, including any written renewal, extension, or amendment, and any lawful holdover tenancy. This ACH authorization does not amend, replace, or supersede the Lease. If there is any inconsistency regarding the amount or due date of a payment, the then-current executed Lease controls. No new ACH authorization is required solely because the rent amount, payment frequency, or payment due date changes under a renewed, extended, amended, or holdover Lease, subject to any notice required by applicable law or ACH operating rules.

Lease-Controlled Payment Terms
Payment amount, frequency, and due dates are established by the then-current executed Lease. This authorization is intended to continue without requiring a new ACH form when those Lease terms change through a written renewal, extension, or amendment, or during a lawful holdover tenancy.
* Account Type
Where to find your Routing Number and Account Number
Sample check showing the check number at the far left of the MICR line, followed by the 9-digit routing number and account number, with the bank-encoded amount field at the far right
Check layouts can vary. In this example, the Check Number appears at the far left of the MICR line, followed by the 9-digit Routing Number and then the Account Number. The bank-encoded amount field is shown at the far right. Enter only the Routing Number and Account Number.
I understand that this authorization will remain in effect during the term of my Lease, any lawful holdover, and any written renewal, extension, or amendment, unless I cancel it in writing earlier. I agree to notify Payment Processing Trust a/k/a PPT in writing of any changes in my account information or termination of this authorization at least 15 days prior to the next payment due date. The amount, frequency, and due date of each recurring debit are governed by my then-current executed Lease. If a Lease payment due date falls on a weekend or holiday, I understand that the ACH debit may be executed on the next business day. I understand that because this is an electronic transaction, funds may be withdrawn from my account as soon as the applicable payment date. If an ACH transaction is denied or returned unpaid for non-sufficient funds (NSF), a closed account, stop payment, invalid account information, or any other reason preventing payment, I authorize Payment Processing Trust a/k/a PPT to assess a $50.00 denied or returned ACH processing fee. I further authorize PPT to re-submit the ACH transaction as permitted by applicable ACH operating rules. If a re-submitted ACH transaction is also denied or returned unpaid, I authorize an additional $25.00 processing fee for each denied or returned re-submission. These processing fees are intended to reimburse PPT for administrative, banking, and collection costs associated with the denied or returned electronic payment. I acknowledge that the origination of ACH transactions to my account must comply with U.S. law. I agree not to dispute recurring billing with my bank so long as the transactions correspond to the payment obligations established by my then-current executed Lease and this authorization.
For Printed Submissions: Attach a voided check or deposit slip and a copy of a current government-issued photo ID to this signed authorization form. Mail the complete package to Payment Processing Trust, P.O. Box 136932, Fort Worth, Texas 76136.:

You may upload a scanned copy or take a clear picture with your smartphone. Make sure the account holder's name, bank name, routing number, and account number are readable.

No file selected
Accepted: PDF, JPG, JPEG, PNG, HEIC, or HEIF. Maximum size: 10 MB. After choosing a photo, you can crop away the table, counter, or other background before submitting.

Upload a clear scan or smartphone picture of a current driver's license, state ID card, passport, or military ID. The name and photograph must be readable.

No file selected
Accepted: PDF, JPG, JPEG, PNG, HEIC, or HEIF. Maximum size: 10 MB. After choosing a photo, you can crop away the surrounding background before submitting.

For your protection and ours, you may upload a current photo of yourself holding the same government-issued photo ID uploaded above. This additional verification helps discourage identity theft, unauthorized use of bank information, and fraudulent ACH authorizations. The photo is used solely for identity verification, is kept confidential, and is not required for approval.

No file selected
Phone tip: If you are completing this form on a mobile phone, you can take the photo now using your phone camera. After taking or choosing the photo, you can crop it before submitting. Accepted: JPG, JPEG, PNG, HEIC, or HEIF. Maximum size: 10 MB.
By submitting this form, I certify that I am the owner or an authorized signer on the account; the uploaded photo ID belongs to me; the uploaded check or deposit slip relates to the account identified above; if I provided an additional identity-verification photo, it is a current photo of me holding the same photo ID; and I authorize Payment Processing Trust to initiate the ACH transactions described in this authorization.