Tenant Name:
Property Name:
Email:
Phone:
Please choose ONE of the below options: Yes, please enroll me in Carnegie Companies Tenant Payment Portal but do NOT enroll me in automatic monthly payments; I will set up and initiate my payments each month on Carnegie.etenantportal.comYes, please enroll me in Carnegie Companies Tenant Payment Portal and SET UP MY ACCOUNT FOR AUTOMATIC MONTHLY PAYMENTS for the amount set forth below. Set up monthly payments in the amount of $ *This amount must be equal to or greater than the total monthly charges due under the Lease. **Any change in rent or monthly charges will require you to login into your account and manually update the payment amount. OR Current account balance due: Current account balance due *May include additional charges for recoveries, maintenance, etc. ** I acknowledge that any future increase in charges, per the Lease, will automatically update on the date the increase is to occur and my account will be debited for the updated monthly charges due. Bank Account Information: Checking AccountSavings Account Name on Account: Account Number: Routing Number: I hereby authorize Carnegie Companies to sign me, or my company, up with the Tenant Payment Portal and, only if indicated above, for Landlord, as defined in the Lease, automatically debit the above account each month for the total monthly charges due under my Lease, or the amount stated above. I acknowledge that by entering my name on the signature line below constitutes an electronic signature that is the legally binding equivalent to my handwritten signature. Signature: Printed Name: Date:
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