Common Contracts
2 similar Direct Withdrawal Agreement contracts
Direct Withdrawal Agreement Form for Tuition PaymentsDirect Withdrawal Agreement • February 10th, 2019
Authorization Agreement I hereby authorize Skokie School District 73½ to initiate automatic withdrawals from my account at the financial institution named below. I also authorize Skokie School District 73½ to make deposits from this account in the event that a debit entry is made in error.Further, I agree not to hold Skokie School District 73½ responsible for any delay or loss of funds due to incorrect or incomplete information supplied by me or by my financial institution or due to an error on the part of my financial institution in withdrawing funds from my account.This agreement will remain in effect until all tuition payments for the 2019-2020 Preschool Program school year have been processed.Two-week written notice is required to withdraw a student. Payment for the two-week notification period is required. Account Information Name of Bank/Financial Institution: Routing Number: Checking Savings Account Number: Signature Authorized Signature (Primary): Date: Auth
Direct Withdrawal Agreement Form for Tuition PaymentsDirect Withdrawal Agreement • February 5th, 2018
Authorization Agreement I hereby authorize Skokie School District 73½ to initiate automatic withdrawals from my account at the financial institution named below. I also authorize Skokie School District 73½ to make deposits from this account in the event that a debit entry is made in error.Further, I agree not to hold Skokie School District 73½ responsible for any delay or loss of funds due to incorrect or incomplete information supplied by me or by my financial institution or due to an error on the part of my financial institution in withdrawing funds from my account.This agreement will remain in effect until all tuition payments for the 2018-2019 Preschool Program school year have been processed.Two-week written notice is required to withdraw a student. Payment for the two-week notification period is required. Account Information Name of Bank/Financial Institution: Routing Number: Checking Savings Account Number: Signature Authorized Signature (Primary): Date: Auth
