Closing Docs

email address

phone

address

68 Sagamore St, Manchester, NH 03104, USA

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Entity or Personal Name (Please indicate who or what entity will appear on the ownership title).

Subject Property Address

EIN or Social Security Number

Your Personal Name (Please indicate your personal name, even if ownership will be under an entity).

Entity Address

Address Line 1

Address Line 2

City

State

Zip Code

Consumer Form

CONSUMER AUTHORIZATION FOR DIRECT PAYMENT VIA ACH (ACH DEBITS)

Direct Payment via ACH is the transfer of funds from a consumer account for the purpose of making a payment.

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I (we) authorize Cornerstone Commercial Capital Inc. ("COMPANY") to electronically debit my (our) account and, if necessary, electronically credit my (our) account to correct erroneous debits as follows:

Checking Account
Savings Account

At the depository financial institution named below ("Depository"). I (we) agree that ACH transactions I (we) authorize comply with all applicable law.

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Bank Name

Routing Number

Layout (copy)

Account Number

Amount of Debit

Date and Frequency: Note that all payments are due on the first day of the month. Payments via ACH should be dated on the first day of the month for each monthly payment.

I (we) understand that this authorization will remain in full force and effect until I (we) notify Cornerstone Commercial Capital Inc. by electronic mail at info@cornerstonecomcap.com to revoke this authorization. I (we) understand that Cornerstone Commercial Capital Inc. will have at least seven (7) days' notice in order to cancel this authorization.

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Name

Date / Time

Date

Time

Signature

Clear Signature

Closing Docs

email address

info@cornerstonecomcap.com

phone

603-722-1506

address

68 Sagamore St, Manchester, NH 03104, USA

Consumer Form

CONSUMER AUTHORIZATION FOR DIRECT PAYMENT VIA ACH (ACH DEBITS)

Direct Payment via ACH is the transfer of funds from a consumer account for the purpose of making a payment.

Date and Frequency: Note that all payments are due on the first day of the month. Payments via ACH should be dated on the first day of the month for each monthly payment.

Support@cornerstonecomcap.com

603-722-1506

68 Sagamore St, Manchester, NH 03104, USA

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