Creating Communities. Building Trust.
Direct Deposit
Direct Deposit Authorization for Housing Assistance Payments
 
Please enter the information requested below, and then click "Submit". The completed form will be automatically submitted to the HANO Finance Department. You may also print a copy for your records.
 
DO NOT FAX FORM.
Supporting Documentation can be uploaded.
Payee First Name:  
Middle Initial:
Last Name:  
Address:  
City:  
State:  
Zip:    
E-mail Address:    
Primary Phone:    
Secondary Phone:  
Tax ID:
Please check applicable circle:  
Name of Financial Institution:  
Routing Number:    
Account Number:  
Type of Account:
Upload the information required.
(1) State issue ID, (2) Voided check

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Electronic Signature Certification: We/I hereby certify that the person(s) identifed above is/are the contract payee(s) and are entitled to payment(s) under certain duly executed Housing Assistance Payments Contracts(s). We/I further certify that through receipt of payment(s) under this authorization, we/I confirm that those individuals identified in such contract are residing in the dwelling untit and that said unit is in full compliance with the Federal Housing Quality Standards (HQS). I hereby authorize HANO to direct the amount of my monthly Housing Assistance Payments to my account at the financial institution designated above.
Initials: