San Diego Form Ra 040 PDF Details

In the vibrant city of San Diego, the Department of Housing and Community Development introduces an essential tool for seamless financial transactions - the San Diego RA 040 form. Created under the oversight of Todd Henderson, with Kelly Duffek serving as the Assistant Director, this form facilitates a critical link between landlords or property owners and direct deposit authorizations, paving the way for efficient rent payments and financial dealings. Located at 3989 Ruffin Road, the department emphasizes ease of access and communication by providing phone, fax, TDD, and toll-free numbers, alongside a digital portal at sdhcd.org, ensuring stakeholders can reach out with ease. The RA 040 form requires detailed financial institution and business data, including a specific instruction for the attachment of an imprinted, voided check for those selecting the checking account option, signifying its thorough approach to financial accuracy and security. The process is designed with accountability at its core, necessitating contact information for fiscal staff within the Housing Authority of the County of San Diego for any queries or guidance. It underscores a binding agreement that remains effective until officially revoked in writing, allowing for a smooth and uninterrupted flow of funds. This commitment extends to ensuring corrections to previous deposits can be made, illustrating a flexible yet secure system to support San Diego’s housing infrastructure.

QuestionAnswer
Form NameSan Diego Form Ra 040
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesdirect_deposit_ form county of san diego ruffin todd henderson form

Form Preview Example

TODD HENDERSON

DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT

KELLY DUFFEK

DIRECTOR

3989 RUFFIN ROAD, SAN DIEGO, CALIFORNIA 92123-1815

ASSISTANT DIRECTOR

 

Phone: 858-694-4801; Fax: 858-694-4871; TDD: 866-945-2207

 

 

Toll Free: 1-877-478-5478; Web Address: sdhcd.org

 

DIRECT DEPOSIT AUTHORIZATION FORM

Complete the FINANCIAL INSTITUTION AND BUSINESS DATA portions of this form.

Send the form AND AN IMPRINTED, VOIDED CHECK (*blank or handwritten checks cannot be accepted if Checking Account is selected) to: Housing Authority of the County of San Diego, Attn: Fiscal, 3989 Ruffin Road, San Diego, CA 92123. The Housing Authority Fiscal staff will contact you if they have any questions. If you have any questions, please call the Housing Authority Fiscal staff at (858) 694-4862. (Fax number: (858) 694-4845).

I hereby authorize the Housing Authority of the County of San Diego, to initiate deposits and/or correcting entries to previous deposits to my account, if necessary.

FINANCIAL INSTITUTION DATA—PLEASE SELECT ONE:

_________Checking Account*

___________Savings Account

Transit Routing No.___________________

Transit Routing No.____________________

Account No._________________________

Account No.__________________________

___________________________________

____________________________________

Financial Institution Representative

Financial Institution Telephone Number

______________________________________________________________________________________

Financial Institution

Financial Institution Address

This authority will remain in force until I have given a written revocation to the Housing Authority of the County of San Diego, in a timeframe that will allow the Housing Authority of the County of San Diego, and the depository a reasonable opportunity to terminate this authorization.

LANDLORD/OWNER DATA

Landlord/Owner E-mail Address _____________________

 

 

Landlord/Owner Name

Social Security or Tax Identification Number

____________________________________________________________________________________________

Landlord/Owner Address

Landlord/Owner Telephone Number

 

 

 

Signature

 

Date

RA 040 (11/2013)

Serving as the Housing Authority of the County of San Diego