Common Contracts
1 similar Authorization Agreement for Direct Payments contracts
ContractAuthorization Agreement for Direct Payments • November 29th, 2005
AUTHORIZATION AGREEMENT FOR DIRECT PAYMENTS I (we) hereby authorize EQUITY INSURANCE COMPANY, their affiliates and subsidiaries, hereafter called COMPANY, to initiate monthly deductions from my checking or savings account, indicated below, for payment of premium on the insurance policy issued to me (us) by COMPANY, and any renewals thereof, and to indicate credit entries to my (our) account in order to correct any erroneous deductions or provide a refund of premium. I (we) authorize the financial institution named below as the DEPOSITORY, to accept and post entries to my account. I (we) understand this authorization allows COMPANY to adjust the monthly deductions to reflect any premium changes and policy renewals. COMPANY agrees that it shall notify me (us) at least ten days prior when any deductions will be less than the previous deduction by more than one thousand dollars or when any deduction will be greater than the previous deduction. I (we) acknowledge receipt of this authorizati
