Landlord Authorization and Payee Change

Landlord Information

Property Address

Landlord's Full Name

Current Payee Information

Current Payee's Full Name

Bank Name

Current Payee's Bank Info

Account Number

Routing Number

Updated Payee Information

Payee's Full Name

Relationship to Landlord

Bank Name

Account Number

Current Payee's Bank Info

Routing Number

Billing Address

Authorization to Change Payee Information:

I, the undersigned landlord, hereby authorize the change in the payee information for
the property mentioned above. I understand that this change may affect the reporting of
1099 forms, and I acknowledge that it is my responsibility to ensure the accuracy of this
information.

Landlord's Signature

Select a date

Declaration by Payee (if different from Landlord):

I, the undersigned payee, confirm that I have received the landlord's authorization to
receive payments on their behalf. I understand the reporting implications for tax purposes
and acknowledge that I may be required to submit a W9 form.

Payee's Signature

Select a date

Thanks for submitting!