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Maintenance Request

Can this request be fulfilled as soon as possible?
Yes
No

ACH Direct Debit Form

Type of Account
Checking
Saving
Start Date
Month
Day
Year

MONEY WILL NEED TO BE IN ACCOUNT ON THE FIRST(1st) OF EACH MONTH. Please note CA Kaplan, LLC will debit your account and you will receive an email when rental payment has been paid.

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I hereby authorize CA Kaplan LLC, 1300 Floyd Ave., Rome, NY 13440, hereinafter called COMPANY, to initiate debit entries at the depository financial institution named above and to debit such.

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I understand that this authorization will remain in full force and in effect until CA Kaplan, LLC has received written notification from me of its termination within reasonable time (30 days), and in such manner to allow CA Kaplan, LLC and BANK to act on it.


I understand that the BANK is not responsible for any errors made by CA Kaplan, LLC and the BANK can only initiate debit and credit entries based upon information given to it by the CA Kaplan, LLC. I agree that the BANK has no liability to me if it is unable to make any transfers due to an act of God, mechanical failures, any interruptions in communication not within its control, or if sufficient funds are not given to it by CA Kaplan, LLC in the amount of the required transfer.


Office Hours:
Mon - Fri
9:00 AM - 4:00 PM

 

We are committed to providing equal housing opportunities to all prospective tenants, landlords, and applicants. In accordance with Federal, New York State, and local laws, we do not discriminate based on race, color, religion, sex, disability, familial status, national origin, sexual orientation, gender identity, military status, age, marital status, or lawful source of income (including housing vouchers and public assistance).

Pursuant to 19 NYCRR §175.29, please review the official New York State Housing and Anti-Discrimination Notice to learn more about consumer protections and your rights as a renter or housing consumer.

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