Credit Card Authorization

Location (required)



I authorize the above indicated facility to keep my signature on file and to charge my credit card
account, listed below, in the amount of $ (Rent + Taxes) on the first day of the month,
beginning on _____________ and ending when I vacate my unit(s) or cancel this agreement. I
understand that this form is valid until I cancel this authorization, ten (10) days prior to vacating, through
written notice to the above indicated facility.


I authorize the above indicated facility to keep my signature on file and to charge my credit card
account in the event I may call and ask the management to do so. I understand that management cannot
charge my card for accounts over thirty (30) days past due or upon vacating my unit.