ACH Signup - Lincoln Property Company

Vendor Signup for ACH Payments

"*" indicates required fields

Company Name*

Company Type*

Individual

Corporation

1099 Federal Reportable?*

YES

1099 State Reportable?*

YES

Tax ID Type*

Tax ID*

Signed W9*

Drop files here or

Max. file size: 50 MB.

Company Phone*

Company Website*

Company Registered Address*

Street City State Zip Code Country

Vendor Company Contact

Company Owner or Finance Contact Name*

Contact Title*

Phone*

Email*

Contact Address*

Street City State Zip Code Country

Vendor Company Services

Current Contract & Purchase Order Copy

Drop files here or

Max. file size: 50 MB.

Contract Start Date

Contract End Date

Vendor Bank Information

Bank Name*

Beneficiary Name*

Routing Number*

Account Number*

Bank Branch Address*

Street City State Zip Code Country

Payment Currency Code*

Voided Check or Bank Account Confirmation Letter*

Drop files here or

Max. file size: 50 MB.

Payment Notification Person Name*

Payment Notification Person Email*

Certification

I have read and agreed to the ACH Payment Authorization Terms & Conditions*

Name*

Title*

Signature*

Date*

Vendor Signup for ACH Payments

Vendor Company Contact

Vendor Company Services

Vendor Bank Information

Certification

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