Common Contracts

1 similar Authorization Agreement contracts

AUTHORIZATION AGREEMENT FOR PRE-ARRANGED PAYMENTS (DEBITS)
Authorization Agreement • February 2nd, 2007

Client Account Information Client Name: Date: Client hereby authorizes and requests National Benefit Services (NBS) to effect payment for any amounts owing by Client to NBS as such amounts become due by initiating debit entries to Client's account identified as follows: Bank Name: Bank Address: Depositor Transit Routing Number:Depositor Account Number: Employer Tax ID Number:Checking Savings NBS 401(k)Account Information Client hereby requests the above-mentioned bank to accept any debit entries initiated by NBS on this account and to debit the account without responsibility for the correctness of the debit entry to the NBS account identified as follows: Federal ID No.: 20-3886993 Depositor Account Number Information: Bank Name: ZIONS FIRST NATIONAL BANK Transit Routing Number: 124000054 Account Number Information: 03-14549-7 It is understood that this agreement may be terminated by Client at any time by written notification to NBS. Any such notificationto NBS sh

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