ELECTRONIC FUNDS TRANSFER (EFT) AUTHORIZATION AGREEMENTElectronic Funds Transfer Authorization Agreement • April 30th, 2009
Contract Type FiledApril 30th, 2009As the Named Insured, I (we) hereby authorize Anchor General Insurance Agency, Inc.(Anchor), its subsidiaries and affiliates, to electronically deduct monthly installments for payment of my (our) insurance policy premiums, subsequent renewal down payment and monthly installments, and to initiate credit entries in the event of erroneous charges. I (we) hereby authorize the Financial Institution indicated below to accept and post these transactions to my (our) checking account. I (we) agree that Anchor will not be responsible for claims relating to the debit or credit of my (our) account including the acts or omissions of others, including the bank and clearing houses which receive and transmit the transfer instruction. Anchor is not responsible for delays in processing that may occur due to circumstances beyond our control.