AUTHORIZATION AGREEMENT FOR AUTOMATIC DEPOSIT Sample Clauses

AUTHORIZATION AGREEMENT FOR AUTOMATIC DEPOSIT. This form authorizes Early Learning Coalition of Polk County to deposit provider payments directly into the bank account listed below. This form also authorizes the reversal of any incorrect entries made in error related to the Florida Subsidized Child Care program or Florida Voluntary Pre-Kindergarten program.
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AUTHORIZATION AGREEMENT FOR AUTOMATIC DEPOSIT. I authorize American National Life Insurance Company of Texas and the bank listed to deposit my commissions to the account name below. This authority will remain in effect until I provide a new authorization or cancellation. The company reserves the right to initiate debit entries for recovery of sums due to credit entries processed in error, if determined within the week of the credit entry. AGENT NAME AGENCY # ADDRESS CHECKING ACCOUNT # 9 DIGIT ROUTING # CREDIT UNION % TO CHECKING ACCT. SSN # DEPOSITORY (BANK) NAME CITY, STATE, ZIP SAVINGS ACCOUNT # 9 DIGIT ROUTING # MONEY MARKET ACCT. % TO SAVING ACCT. (Name as it appears on checking account) (Name as it appears on savings account) Once you have signed up, your check will be automatically deposited into your checking and/or savings account approximately 3-4 weeks from the day the Home Office received the request. You will receive a “DEPOSIT ADVICE” form which will replace your check stub. This form will show your gross and net pay for the month and year-to-date. It will also show other deductions. American National Life Insurance Company of Texas One Xxxxx Plaza, Galveston, TX 00000-0000 Phone Number: (000) 000-0000 Mailing Address: PO Box 1795 Galveston, TX 77550-1795 The Federal Fair Credit Reporting Act, as amended, provides that any consumer reporting agency may furnish a consumer report in accordance with the written instructions of the consumer to whom it relates. In accordance with that provision, the person signing this form as “Applicant” hereby authorizes any person or agency to give, in writing, orally, or in any other form, to American National Life Insurance Company of Texas or its designated representatives any information gathered or maintained by a consumer reporting agency bearing on the Applicant’s credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics, or mode of living which is used or expected to be used or collected in whole or in part for the purpose of serving as a factor in establishing the Applicant’s eligibility for credit, employment or any other purpose authorized under Section 604 of the Act. Further, the Applicant understands that American National Life Insurance Company of Texas may, as part of its normal procedure, request that an investigative consumer credit report be made whereby information on the Applicant’s character, general reputation, personal characteristics or mode of living is obtained through personal int...
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AUTHORIZATION AGREEMENT FOR AUTOMATIC DEPOSIT. I authorize American National Insurance Company and the bank listed to deposit my commissions to the account name below. This authority will remain in effect until I provide a new authorization or cancellation. The company reserves the right to initiate debit entries for recovery of sums due to credit entries processed in error, if determined within the week of the credit entry. AGENT NAME SSN # AGENCY # DEPOSITORY (BANK) NAME ADDRESS CITY, STATE, ZIP / / CHECKING ACCOUNT # SAVINGS ACCOUNT # 9 DIGIT ROUTING # 9 DIGIT ROUTING # CREDIT UNION MONEY MARKET ACCT. % TO CHECKING ACCT. % TO SAVING ACCT. (Name as it appears on checking account) (Name as it appears on savings account) Once you have signed up, your check will be automatically deposited into your checking and/or savings account approximately 3-4 weeks from the day the Home Office received the request. You will receive a "DEPOSIT ADVICE" form which will replace your check stub. This form will show your gross and net pay for the month and year-to-date. It will also show other deductions. American National Insurance Company is committed to providing insurance and annuity products and services designed to meet your needs. We are equally committed to respecting your privacy and protecting the information about you that we may receive. We have prepared this notice to advise you what information we collect, how we use it and how we protect it.
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AUTHORIZATION AGREEMENT FOR AUTOMATIC DEPOSIT. I authorize American National Insurance Company and the bank listed to deposit my commissions to the account name below. This authority will remain in effect until I provide a new authorization or cancellation. The company reserves the right to initiate debit entries for recovery of sums due to credit entries processed in error, if determined within the week of the credit entry. AGENT NAME SSN # AGENCY # DEPOSITORY (BANK) NAME ADDRESS CITY, STATE, ZIP / / CHECKING ACCOUNT # SAVINGS ACCOUNT # 9 DIGIT ROUTING # 9 DIGIT ROUTING # CREDIT UNION MONEY MARKET ACCT. % TO CHECKING ACCT. % TO SAVING ACCT. (Name as it appears on checking account) (Name as it appears on savings account) Once you have signed up, your check will be automatically deposited into your checking and/or savings account approximately 3-4 weeks from the day the Home Office received the request. You will receive a "DEPOSIT ADVICE" form which will replace your check stub. This form will show your gross and net pay for the month and year-to-date. It will also show other deductions. This compensation schedule shall cancel and supersede all previously effective Compensation Schedules and Paid Production requirements, but it shall not impair your rights to commissions or fees, if any, earned under the provisions of any prior schedules. Commissions and fees are expressed as a percentage of premiums paid unless otherwise noted. Schedule consists of 5 pages total. ANICO Indexed UL2 18-69 80 2 2 2 2 0.6 excess 18-69 2 2 2 2 2 0.6 70-85 75 2 2 2 2 0.6 excess 70-85 2 2 2 2 2 0.6 ANICO Executive UL2 0-69 80 2 2 2 2 2 excess 0-69 2 2 2 2 2 2 70-85 75 2 2 2 2 2 excess 70-85 2 2 2 2 2 2 Affinity 7 Par Whole Life 0-69 80 2 2 2 2 0.7 70-79 60 2 2 2 2 0.7 80-85 30 2 2 2 2 0.7 ART 18-65 80 - - - - - 10 year term 3 18-70 80 - - - - - 15 year term 18-65 85 - - - - - 20 year term 18-60 90 - - - - - 30 year term 18-50 90 - - - - - Commissions on riders originally issued with the policy are paid at the same rates as the base policy unless otherwise shown, except for the Level Term Rider on ANICO Executive UL. Any additional premium paid because of this rider will be commissioned at the policy's rate for excess premium. Commissions for policy increases and riders added after the policy is issued are paid at the same first year and renewal rates as the policy for the amount of the increase unless otherwise shown. Commissions on increases and on riders added after the policy is issued will be paid to the agent who writes ...
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AUTHORIZATION AGREEMENT FOR AUTOMATIC DEPOSIT. Of Child Care Provider Payments
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AUTHORIZATION AGREEMENT FOR AUTOMATIC DEPOSIT. I (We) herby authorize Xxxxxx Financial to initiate Automated Clearing House credits and, if necessary, make debits for any entries made to my account in error. AGENT INFORMATION Agent or Agency Name: Social Security number/Tax ID number: Phone Number: Please indicate transaction type:  Set-up  Change  Cancel Please indicate type of account:  Checking  Savings FINANCIAL INFORMATION State: Zip: This authorization will remain in force until written notification of termination or change is received by Xxxxxx Financial in such time and in such manner as to afford Xxxxxx Financial opportunity to act on it. NOTE: Direct deposit set-up requires that the bank account and routing number must be verified for accuracy before any funds are transferred. For this reason, you may receive one or two commission checks that need to be cashed. Signature: Date: PLEASE INCLUDE A COPY OF A VOIDED CHECK Form W-9(Rev. January 2003)Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification Give form to the requester. Do not send to the IRS. Print or type See Specific Instructions on page 2. Name Business name, if different from above Individual/ Check appropriate box: Sole proprietor Corporation Partnership Other } Exempt from backup withholding Address (number, street, and apt. or suite no.) Requester’s name and address (optional) City, state, and ZIP code List account number(s) here (optional) Social security number – – Enter your TIN in the appropriate box. For individuals, this is your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3. or Note: If the account is in more than one name, see the chart on page 4 for guidelines on whose number to enter. Employer identification number – Under penalties of perjury, I certify that:
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AUTHORIZATION AGREEMENT FOR AUTOMATIC DEPOSIT. I authorize American National Insurance Company and the bank listed to deposit my commissions to the account name below. This authority will remain in effect until I provide a new authorization or cancellation. The company reserves the right to initiate debit entries for recovery of sums due to credit entries processed in error, if determined within the week of the credit entry.
Sample 1
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AUTHORIZATION AGREEMENT FOR AUTOMATIC DEPOSIT. SFN is authorized to initiate direct deposit entries and to initiate, as and when necessary, to the following account(s):
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AUTHORIZATION AGREEMENT FOR AUTOMATIC DEPOSIT. I hereby authorize the San Antonio Housing Authority (SAHA) to make deposits in the account located at (name of Depository Financial Institution, hereinafter referred to as DFI) _
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Related to AUTHORIZATION AGREEMENT FOR AUTOMATIC DEPOSIT

  • Authorization for Agreement The execution and performance of this ---------------------------- Agreement by Licensee and Manager have been duly authorized by all necessary laws, resolutions or corporate action, and this Agreement constitutes the valid and enforceable obligations of Licensee and Manager in accordance with its terms except as such enforceability may be limited by creditors rights laws and general principles of equity.

  • Authorization of Agreement, Etc The Borrower has the right and power, and has taken all necessary action to authorize it, to borrow and obtain other extensions of credit hereunder. The Borrower and each other Loan Party has the right and power, and has taken all necessary action to authorize it, to execute, deliver and perform each of the Loan Documents to which it is a party in accordance with their respective terms and to consummate the transactions contemplated hereby and thereby. The Loan Documents to which the Borrower or any other Loan Party is a party have been duly executed and delivered by the duly authorized officers of such Person and each is a legal, valid and binding obligation of such Person enforceable against such Person in accordance with its respective terms except as the same may be limited by bankruptcy, insolvency, and other similar laws affecting the rights of creditors generally and the availability of equitable remedies for the enforcement of certain obligations (other than the payment of principal) contained herein or therein may be limited by equitable principles generally.

  • Authorization of Agreement This Agreement has been duly authorized, executed and delivered by the Company.

  • Authorization; Binding Agreement The Company has all requisite corporate power and authority to execute and deliver this Agreement and each Ancillary Document to which it is or is required to be a party, to perform the Company’s obligations hereunder and thereunder and to consummate the transactions contemplated hereby and thereby, subject to obtaining the Required Company Stockholder Approval. The execution and delivery of this Agreement and each Ancillary Document to which the Company is or is required to be a party and the consummation of the transactions contemplated hereby and thereby, (a) have been duly and validly authorized by the Company’s board of directors in accordance with the Company’s Organizational Documents, the DGCL, any other applicable Law or any Contract to which the Company or any of its stockholders is a party or by which it or its securities are bound and (b) other than the Required Company Stockholder Approval, no other corporate proceedings on the part of the Company are necessary to authorize the execution and delivery of this Agreement and each Ancillary Document to which it is a party or to consummate the transactions contemplated hereby and thereby. This Agreement has been, and each Ancillary Document to which the Company is or is required to be a party shall be when delivered, duly and validly executed and delivered by the Company and assuming the due authorization, execution and delivery of this Agreement and any such Ancillary Document by the other parties hereto and thereto, constitutes, or when delivered shall constitute, the legal, valid and binding obligation of the Company, enforceable against the Company in accordance with its terms, subject to the Enforceability Exceptions. The Company’s board of directors, by resolutions duly adopted at a meeting duly called and held (i) determined that this Agreement and the Merger and the other transactions contemplated hereby are advisable, fair to, and in the best interests of, the Company, its Subsidiaries and its stockholders, (ii) approved this Agreement and the Merger and the other transactions contemplated by this Agreement in accordance with the DGCL, (iii) directed that this Agreement be submitted to the Company’s stockholders for adoption and (iv) resolved to recommend that the Company stockholders adopt this Agreement.

  • Authorization of Notes The Company will authorize the issue and sale of $110,000,000 aggregate principal amount of its 6.47% Senior Notes due September 30, 2030 (the “Notes”, such term to include any such notes issued in substitution therefor pursuant to Section 13). The Notes shall be substantially in the form set out in Exhibit 1. Certain capitalized and other terms used in this Agreement are defined in Schedule B; and references to a “Schedule” or an “Exhibit” are, unless otherwise specified, to a Schedule or an Exhibit attached to this Agreement.

  • Authorization, Etc This Agreement and the Notes have been duly authorized by all necessary corporate action on the part of the Company, and this Agreement constitutes, and upon execution and delivery thereof each Note will constitute, a legal, valid and binding obligation of the Company enforceable against the Company in accordance with its terms, except as such enforceability may be limited by (i) applicable bankruptcy, insolvency, reorganization, moratorium or other similar laws affecting the enforcement of creditors’ rights generally and (ii) general principles of equity (regardless of whether such enforceability is considered in a proceeding in equity or at law).

  • Designation of the Trust, the Notes, the Funding Agreement and the Guarantee The Trust created by the Trust Agreement and referred to in the Indenture is the Principal Life Income Fundings Trust specified in the Omnibus Instrument. The Notes issued by the Trust and governed by the Indenture shall be the Notes specified in the Pricing Supplement. The Funding Agreement designated hereby is the Funding Agreement designated in the Pricing Supplement dated as of the Original Issue Date between the Trust and Principal Life. The Guarantee designated hereby is the Guarantee dated as of the Original Issue Date of PFG.

  • Authorization of Underwriting Agreement This Agreement has been duly authorized, executed and delivered by the Company.

  • Authorization of Agreements, Etc (a) The execution and delivery by the Company of this Agreement and the Other Loan Documents (and, with respect to Bartxxx, xxe Security Agreement and the Bartxxx Xxxranty), the performance by the Company of its obligations hereunder and thereunder (and, with respect to Bartxxx, xxe Security Agreement and the Bartxxx Xxxranty), the issuance, sale and delivery of the Note and the Warrant, and the issuance, sale and delivery of the Warrant Shares upon the exercise of the Warrant, have been duly authorized by all requisite corporate action and will not violate any provision of law, any order of any court or other agency of government (except that the issuance of the Warrant Shares may require filings under one or more state securities laws, all of which filings will be made by the Company within the requisite time period), the Articles of Organization of the Company, as amended (the "Charter") or the By-laws of the Company, as amended (the "By-laws") (or, with respect to Bartxxx, xxs Certificate of Incorporation or By-laws), or any provision of any indenture, agreement or other instrument to which either the Company or Bartxxx xx a party or by which either the Company or Bartxxx xx any of its properties or assets is bound, or conflict with, result in a breach of or constitute (whether with or without notice or lapse of time or both) a default under any such indenture, agreement or other instrument, or result in the creation or imposition of any lien, charge, restriction, claim or encumbrance of any nature whatsoever upon any of the properties or assets of the Company or Bartxxx. (b) The Warrant has been authorized and, when issued in accordance with this Agreement, will be validly issued, fully paid and nonassessable with no personal liability attaching to the ownership thereof and will be free and clear of all liens, charges, restrictions, claims and encumbrances imposed by or through the Company except as set forth in this Agreement. The Warrant Shares have been duly authorized and reserved for issuance upon exercise of the Warrant, and, when so issued, will be duly authorized, validly issued, fully paid and nonassessable with no personal liability attaching to the ownership thereof and will be free and clear of all liens, charges, restrictions, claims and encumbrances imposed by or through the Company except as set forth in this Agreement. Neither the issuance, sale or delivery of the Warrant, nor the issuance or delivery of the Warrant Shares is subject to any preemptive right of stockholders of the Company or to any right of first refusal or other right in favor of any person, except as set forth in Article VI of this Agreement.

  • Power; Due Authorization; Binding Agreement The Stockholder has all requisite legal capacity, power and authority to execute and deliver this Agreement, to perform his obligations under this Agreement, and to consummate the transactions contemplated by this Agreement. This Agreement has been duly and validly executed and delivered by the Stockholder and constitutes a valid and binding agreement of the Stockholder, enforceable against the Stockholder in accordance with its terms, except as such enforcement may be limited by applicable bankruptcy, insolvency, reorganization, moratorium or similar Laws relating to or affecting the enforcement of creditors rights generally and equitable principles of general applicability.

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