Phillips Realty, Inc

If you enjoy the convenience of online bill paying you may want to set up your HOA dues on an automatic payment schedule, please print the form below and return to our office. 

Phillips Realty                                                     

Authorization for Automatic Debit

I authorize Phillips Realty of Surfside Beach, SC, to initiate debits from my checking/savings accounts.  This authority will remain in effect until I notify Phillips Realty in writing to cancel this authorization.  Notice shall be provided to Phillips Realty, Attn: Bookkeeping 1500 Hwy 17N, Suite 203 Surfside Beach, SC 29575.  I agree that Phillips Realty will have a reasonable opportunity to act on my cancellation. 

As a convenience to me, I hereby request and authorize Phillips Realty to automatically debit my checking /savings account for my monthly rent or association dues. Funds will be debited on the first business day of each month.

Debit from:

Customer Account Name (As shown on account) ______________________ or ___________________________

Customer Address ________________________________________________________

Financial Institution ______________________________ Checking Account Number ______________________

                                                                                             Savings Account Number_________________________

Routing and Transit Number _________________________________

I UNDERSTAND AND AGREE TO THE TERMS OF THIS SERVICE.

__________________________________________

Signature – Authorized Account Holder

___________________________________________

Signature – Authorized Account Holder

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