TYNDALL FEDERAL CREDIT UNION PO Box 59760Authorization Agreement for Pre-Authorized Payments • December 6th, 2011
AUTHORIZATION AGREEMENT FOR PRE-AUTHORIZED PAYMENTSAuthorization Agreement for Pre-Authorized Payments • August 31st, 2011
With the automatic payment plan, your payments are made directly to us monthly by your bank or financial institution. All you need to do is give us some information, and we will do the rest. You will continue to receive a monthly bill via mail or electronically (see below), but we will automatically handle your payment through your financial institution. The amount of your bill will be deducted from your account on either the 20th or 28th day of the month, as you choose below. (If this day is on a weekend, the deduction will be processed on the following business day.)
AUTHORIZATION AGREEMENT PRE-AUTHORIZED PAYMENTSAuthorization Agreement for Pre-Authorized Payments • August 12th, 2021
AUTHORIZATION AGREEMENT FOR PRE-AUTHORIZED PAYMENTSAuthorization Agreement for Pre-Authorized Payments • June 14th, 2018
The undersigned (“Customer”) being the owner of the depository account (“Account”) referenced below hereby authorizes Universal Finance Corp. or its designee/assignee (“UFC”) to initiate debit entries (“ACH”) to the Account at the depository (“Depository”) indicated below. The Depository is authorized to debit my account for the amount of such debit entries. UFC’s rights regarding the debit entries shall be the same as if they were checks drawn on Customer’s Account and signed personally by any authorized party. The Depository shall be under no obligation to furnish Customer with any special advice or notice in writing or
AUTHORIZATION AGREEMENT FOR PRE-AUTHORIZED PAYMENTS (BANK ACCOUNT/ CREDIT CARD)Authorization Agreement for Pre-Authorized Payments • February 11th, 2016
ContractAuthorization Agreement for Pre-Authorized Payments • July 27th, 2022
The City of Tiffin would like to offer a convenient option for paying your sewer bill. You will still receive your bill by mail indicating the payment will be deducted from your account on the due date.
Dollar-A-Day FormAuthorization Agreement for Pre-Authorized Payments • September 20th, 2022
BYLINE BANKAuthorization Agreement for Pre-Authorized Payments • June 24th, 2016
JACKSON COUNTY WATER COMPANY Authorization Agreement for Pre-Authorized PaymentsAuthorization Agreement for Pre-Authorized Payments • June 16th, 2020
This authorization is to remain in full force and effect until Company and Depository have received written notification from me, or either of us, of its termination in such time and in such manner as to afford Depository and Company a reasonable time to act on it.
AUTHORIZATION AGREEMENT FOR PRE-AUTHORIZED PAYMENTSAuthorization Agreement for Pre-Authorized Payments • September 23rd, 2013
This authorization is to remain in full force and effect until AFCO and DESPOSITORY have received written information from the above customer(s) of its termination, in such time and in such manner as to afford AFCO and DEPOSITORY a reasonable opportunity to act upon it.
Authorization Agreement for Pre-Authorized PaymentsAuthorization Agreement for Pre-Authorized Payments • February 22nd, 2022
Authorization Agreement for Pre-authorized PaymentsAuthorization Agreement for Pre-Authorized Payments • August 6th, 2020
Please note: For funds to be collected via ACH, this form must be received 30 days prior to your next loan payment date, so that authorization with the bank can be completed. We will notify you when your first ACH payment will occur.
Authorization Agreement for Pre-Authorized PaymentsAuthorization Agreement for Pre-Authorized Payments • May 31st, 2021
ContractAuthorization Agreement for Pre-Authorized Payments • August 27th, 2021
I/(We) do hereby authorize the above - named company, hereinafter referred to as the Originator, to initiate debit entries to the account indicated below, and to initiate corrective reversal entries (credits) to the account indicated below in the event any debit entries are originated in error.
Authorization Agreement for Pre-authorized PaymentsAuthorization Agreement for Pre-Authorized Payments • July 17th, 2024
Please note: For funds to be collected via ACH, this form must be received 30 days prior to your next loan payment date, so that authorization with the bank can be completed. We will notify you when your first ACH payment will occur.
Authorization Agreement for Pre-Authorized Payments I hereby authorize The City of Pittsburg, hereinafter called CITY, to initiate debit entries to my bank account or credit card indicated below and the depository named below, hereinafter called...Authorization Agreement for Pre-Authorized Payments • October 17th, 2017
This authority is to remain in full force and effect until the CITY and DEPOSITORY have received written notification from me of its termination in such time and in such manner as to afford COMPANY and DEPOSITORY a reasonable opportunity to act on it.
ContractAuthorization Agreement for Pre-Authorized Payments • January 24th, 2023
This authorization will remain in effect until the Originator has received my/our written notification of its termination in such time and in such manner as to afford the Originator a reasonable opportunity to act upon it.
AUTHORIZATION AGREEMENT FOR PRE-AUTHORIZED PAYMENTSAuthorization Agreement for Pre-Authorized Payments • May 22nd, 2019
North America Shirdi Sai Temple of Atlanta (NASSTA), Inc.Authorization Agreement for Pre-Authorized Payments • November 17th, 2021
AUTHORIZATION AGREEMENT FOR PRE AUTHORIZED PAYMENTSAuthorization Agreement for Pre Authorized Payments • January 31st, 2022
AUTHORIZATION AGREEMENT FOR PRE-AUTHORIZED PAYMENTS (229) 671-2500 (ACH DEBITS) (229) 671-2592 FaxAuthorization Agreement for Pre-Authorized Payments • November 8th, 2021
AUTHORIZATION AGREEMENT FOR PRE-AUTHORIZED PAYMENTSAuthorization Agreement for Pre-Authorized Payments • November 21st, 2018
With the automatic payment plan, your payments are made directly to us monthly by your bank or financial institution. All you need to do is give us some information and we will do the rest. You will continue to receive a monthly bill via mail or electronically (see below), but we will automatically handle your payment through your financial institution. The amount of your bill will be deducted from your account on either the 20th or 28th day of the month, as you choose below. (If this day is on a weekend, the deduction will be processed on the following business day.)
ContractAuthorization Agreement for Pre-Authorized Payments • June 11th, 2022
The City of Tiffin would like to offer a convenient option for paying your sewer bill. You will still receive your bill by mail indicating the payment will be deducted from your account on the due date.
Authorization Agreement for Pre-authorized PaymentsAuthorization Agreement for Pre-Authorized Payments • January 14th, 2013
Authorization Agreement for Pre-authorized Payments For participation in ITNet®Authorization Agreement for Pre-Authorized Payments • October 29th, 2012
Village of Maple ParkAuthorization Agreement for Pre-Authorized Payments • September 12th, 2011
Authorization Agreement for Pre-authorized Payments for Dart Machine ConnectionAuthorization Agreement for Pre-Authorized Payments • May 31st, 2011
I/we authorize Shelti (hereafter called COMPANY) to initiate debit entries to my (our) bank account indicated below. I (we) authorize the financial institution named below, hereafter call INSTITUTION, to credit the amount of such entries to my (our) account to correct any errors, and the INSTITUTION to deposit any such corrections to my (our) account. I have attached an unsigned and voided check for the account I wish to be debited from time to time and in varying amounts.
To: Wheaton Sanitary District Account No.Authorization Agreement for Pre-Authorized Payments • August 4th, 2006
Authorization Agreement for Pre-Authorized PaymentsAuthorization Agreement for Pre-Authorized Payments • October 17th, 2011
ContractAuthorization Agreement for Pre-Authorized Payments • August 21st, 2013
St. Isidore Catholic Community 218 South 12th Street Osage IA 50461 AUTHORIZATION AGREEMENT FOR PRE-AUTHORIZED PAYMENTS I hereby authorize St. Isidore Catholic Community to initiate debit entries to my Checking / Savings account. (CIRCLE ONE) My account number and financial institution are indicated below. If withdrawing from a Checking account, please attach voided check or deposit slip. Financial Institution: Financial Institution Address: Routing Number: Account Number: Dollar Amount: $ Effective Date: Frequency: Monthly Bi-Weekly Weekly Attach Voided Check or Deposit Slip Here if Checking Account is Used. Name (Please Print) Signature Budget Envelope Number Parish This agreement will remain in effect until terminated by either party. You may terminate this authorization by giving us 15 days written notice at the following address: The Home Trust and Savings Bank, 628 Main St. PO Box 150, Osage IA 50461
ELECTRIC SERVICEAuthorization Agreement for Pre-Authorized Payments • November 11th, 2016
ContractAuthorization Agreement for Pre-Authorized Payments • March 28th, 2019
Authorization Agreement for Pre-authorized Payments Company: Suhre’s Gas Co. Inc. _Authorization Agreement for Pre-Authorized Payments • January 21st, 2008
ContractAuthorization Agreement for Pre-Authorized Payments • December 18th, 2013
AUTHORIZATION AGREEMENT FOR THE PRE-AUTHORIZED PAYMENTS I (we) hereby authorized the County of Isle of Wight, VA to initiate debit entries for payment of : Real Estate Tax (Customer # or Parcel #) Personal Property (Customer # or PPID#) Utilities - water / sewer (Customer # or Acct #) Stormwater Fees (Customer # or Acct #) to the account and to the financial instituation listed below: NAME OF YOUR FINANCIAL INSTITUTION CITY STATE ACCOUNT # **Important: Please attach a void check to your completed application form.** Debit my bank account as I have indicated below: Monthly $ or on the due date for Real Estate Monthly $ or on the due date for Personal Property Monthly $ or on the due date for Utilities Monthly $ or on the due date for Stormwater All owners of above property must sign. Soc. Sec. # Soc. Sec. # Name Name Signature Signature Daytime Phone Daytime Phone Date Date Email Email This authority is to remain in full force and effect until the C
AUTHORIZATION AGREEMENT FOR PRE-AUTHORIZED PAYMENTSAuthorization Agreement for Pre-Authorized Payments • July 21st, 2020
