Common Contracts
1 similar Pre-Authorized Debit (Pad) Plan Agreement contracts
ContractPre-Authorized Debit (Pad) Plan Agreement • April 10th, 2019
Please Complete the Pre-Authorized Debit (PAD) Plan agreement below. Client Information - PLEASE PRINT IN BLOCK LETTERS DATE: Name(s): Phone Number: Home Address (Including Postal Code): Banking Information ***PLEASE ATTACH A COPY OF A VOID CHEQUE TO CONFIRM THE ACCOUNT*** Name of Financial Institution: Bank Number (3 Digits): Transit Number (5 Digits): Account Number: Branch Bank Address (Including Postal Code): I/we authorize Hosper Mortgage Administration Inc., and the financial institution designated (or any other financial institution I/We may authorize at any time) to begin deductions as per my/our instructions for monthly regular recurring payments and/or one-time payments from time to time, for payment of all charges arising under my/our Hosper Mortgage Administration Inc. account(s). Regular monthly payments for the full amount of services delivered will be debited to my/our specified account on the 1st day of each month. Hosper Mortgage Administration Inc. will provide 10
