Baytown Housing Authority requires all landlords receive their Housing Assistance Payment HAP by direct deposit into a checking or savings account of the landlords choiceTo set up HAP direct deposit p ID: 886390
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1 DIRECT DEPOSIT AUTHORIZATION Baytown
DIRECT DEPOSIT AUTHORIZATION Baytown Housing Authority requires all landlords receive their Housing Assistance Payment (HAP) by direct deposit into a checking or s avings account of the landlord’s choice. To set up HAP direct deposit, please complete the information requested below and provide an original check marked VOID or a direct deposit authorization letter from your bank . The check or the letter from your ba nk must include: full name , address of account holder, bank name, bank routing number and account number. Please sign and date this form below and return it with your voided check or letter from your bank to BHA. Be sure to include your email so that we may email your direct deposit statement. If there are changes in the address, bank, or account where payments are being deposited, please notify us as soon as possible. If you have questions, please call 281 - 427 - 6686 ext. 1 15. ………………………………………………………… ………………………. ___________________________________________________________________________________ Name on Check or Bank Account _____________________________________________ __________________________________________ Full Name (as it appears on your B HA account - please print) Social Security or Employer Identification Number _____________________________________________ ____________________ ___________ _________ Address City State Zip ___________________________________________________________________________________________ Email Address _________________________ _________________________ __________________________ Home phone number Work phone number Cell phone number My signature verifies the above information is correct and I authorize the HAP directly deposited into my accoun t. ___________________________________________________________ ___________________________ Signature Date 1 805 Cedar Bayou Road , Bay town, TX 77520 . 281 - 427 - 6686 . Fax 281 - 422 - 4307 . TDD/TTY 800 - 545 - 1833 Ext 926 www.Baytownhousing.org