General Additional Terms. If You are a corporation, partnership, or limited liability company, the individual signing below certifies, represents and warrants that he or she has full authority to authorize this Addendum and bind You to its terms. If any provision of this Addendum is, or shall be, deemed to be illegal or unenforceable, the remainder of the Addendum shall not be affected thereby. By signing below, I represent and warrant that I have fully read and understand the terms and conditions of this Addendum, as well as their effect upon the Agreement, and that I voluntarily and freely enter into this Addendum. Accepted and Agreed By: Oxford Life Insurance Company By: Title: Effective Date: COMPANY Dated: Indicate your consent to the above information by typing your name in the space provided. Producer (if corporation or LLC): Dated: By: Printed Name: Producer (if individual): Dated: Name: Printed Name: Commission Direct Deposit Program Subject: Direct Deposit Program Application We would like to encourage all agents to participate in Oxford Life Direct Deposit program featuring EFT (Electronic Funds Transfer) for commission payment. EFT eliminates postage stamps, per check charges and costly check printing fees and most agents find that EFT is a safer, faster, and more convenient way to receive their commission payments. By having you or your staff complete the enclosed application, you become eligible to receive daily commission payments for the Assurance final expense whole life. There is no charge to take part in this program - and the result will be efficient, faster, and more accurate payments. To take part in the program Please fill out the enclosed application to set up direct deposit to your checking or savings account. You can fax or mail the completed Direct Deposit Program application with a copy of a voided check to the address at the bottom of the page. AUTHORIZATION AGREEMENT FOR DIRECT DEPOSIT PROGRAM YOUR NAME (PLEASE PRINT) PRODUCER NUMBER BUSINESS PHONE BUSINESS FAX NAME ON ACCOUNT NAME OF FINANCIAL INSTITUTION MAILING ADDRESS (AS IT APPEARS ON ACCOUNT) CITY, STATE, ZIP BANK TRANSIT ABA NUMBER CHECKING/SAVINGS ACCOUNT NUMBER PLEASE ATTACH VOIDED CHECK OR COPY OF CHECK HERE I hereby authorize Oxford Life Insurance Company to credit my checking account the balance of my net commissions into the account shown above. This authorization is to remain in full force and effect until Oxford Life has received written notification from me of its termination or change. I au...
General Additional Terms
