ACH Authorization for Automatic Deposits

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Your Name *

The Name on Your Account (Your Name, Corp, LLC) *

Your Bank Name *

Your 9 digit Bank Routing Number *

Your Account Type *

Checking

Savings

Your Bank Account Number *

By clicking "Agree", You hereby authorize Keller Williams to initiate credit entries into your account listed above for commission disbursements or other deposits as necessary. You also agree that you will immediately notify Keller Williams at support@kwgap.com if your account information changes and agree that it may take 3-5 business days for your account information to be updated . You acknowledge that Keller Williams is not responsible should your deposit be made into an account that you have closed or no longer have access to and that Keller Williams will not be able to resend your deposit or issue you a check until the funds have been returned to Keller Williams. *

By checking this box, I understand and agree with the statement above

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