Common Contracts
1 similar Authorization Agreement for Electronic Funds Transfer contracts
AUTHORIZATION AGREEMENT FOR ELECTRONIC FUNDS TRANSFER (SCO EFT-1)Authorization Agreement for Electronic Funds Transfer • May 4th, 2017
Complete Section I Below: Please Check Appropriate Boxes New ACH RegistrationChange EFT Remittance Method Change Holder Contact Information HOLDER INFORMATION FEDERAL EMPLOYER ID# (FEIN): - NAME ADDRESS CITY STATE ZIP UNCLAIMED PROPERTY HOLDER TYPECODE PHONE ( _ _ _ ) _ _ _ - _ _ _ _ EXT CONTACT INFORMATION (for EFT Registration) NAME EMAIL PHONE ( _ _ _ ) _ _ _ - _ _ _ _ EXT FAX ( _ _ _ ) _ _ _ - _ _ _ _ Complete Section II, III or IV Below: SECTION II ACH DEBIT I have verified our company’s Financial Institution can originate an ACH Debit transaction in the required record field. SIGNATURE: TITLE DATE SECTION III ACH CREDIT I have verified our company’s Financial Institution can originate an ACH Credit transaction in the required record field. SIGNATURE: TITLE DATE SECTION IV INTERNATIONAL FUNDS TRANSFER SIGNATURE TITLE DATE
