AUTHORIZATION FOR AUTO-WITHDRAWAL VIA ACH (ACH DEBIT)

Direct Deposit via ACH is the deposit of fund to a consumer’s account, for example, payroll, employee
expense reimbursement, government benefits, tax and other refunds, annuities, and interest payments.

Borrower hereby authorizes ROLAND PROPERTIES, INC. to electronically debit my (our)
account (and if necessary, to electronically correct erroneous transactions) as follows:

SELECT ONE
Checking AccountSavings Account

As the depository financial institution named below (“DEPOSITORY”). I (we) agree that ACH transactions
I(we) authorize comply with all applicable law.

YOUR NAME

YOUR ACCOUNT NUMBER: (Borrower Account)

YOUR PHONE (CELL) NUMBER

YOUR EMAIL ADDRESS

BANK NAME/DEPOSITORY

NAME(S) ON THE ACCOUNT

AMOUNT YOU WISH TO PAY/DEBIT

TRANSACTION DATE FOR ACH DEBIT(S)

I(we) understand that this authorization will remain in full force and effect until (we) notify ROLAND
PROPERTIES, INC. in writing that I(we) wish to revoke this authorization. I(we) understand that ROLAND
PROPERTIES, INC. requires at least 15 days prior notice in order to cancel this authorization.

NAME(S) (Please Print)

Δ