Authorization Agreement for Preauthorized Payments Sample Contracts

AUTHORIZATION AGREEMENT FOR PREAUTHORIZED PAYMENTS
Authorization Agreement for Preauthorized Payments • September 26th, 2006

The following information is provided to comply with the Privacy Act of 1974 (P.L. 93-579). The information requested on the form is required under various provisions of title 15 U.S.C. 1601, 12 CFR 205, and 31 CFR 202, for the purpose of providing authority to the Department of Treasury to designate financial institutions to collect payments, by electronic means, from your account. The information will be used for identification with the records of the government agency and the financial institution to direct your payments to the point you authorize. No deduction maybe made unless a signed authorization form is received. Failure to furnish this information may delay or prevent the collection of these payments through the Automated Clearing House System.

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AUTHORIZATION AGREEMENT FOR PREAUTHORIZED PAYMENTS
Authorization Agreement for Preauthorized Payments • February 6th, 2022
CUSTOMER: Please retain a copy for your records.
Authorization Agreement for Preauthorized Payments • May 5th, 2016

MANAGEMENT COMPANY NAME So Cal Property Enterprises, Inc. ASSOCIATION NAME Parkside Green Homeowners Association UNIT ADDRESS 🞏 NEW 🞏 UPDATE 🞏 CANCEL HOMEOWNER UNIT NUMBER ASSESSMENT AMOUNT UNIT OWNER NAME UNIT ACCOUNT NUMBER UNIT OWNER MAILING ADDRESS UNIT OWNER PHONE NUMBER UNIT OWNER EMAIL ADDRESS

AUTHORIZATION AGREEMENT FOR PREAUTHORIZED PAYMENTS
Authorization Agreement for Preauthorized Payments • April 8th, 2020
AUTHORIZATION AGREEMENT FOR PREAUTHORIZED PAYMENTS
Authorization Agreement for Preauthorized Payments • August 21st, 2020
AUTHORIZATION AGREEMENT FOR PREAUTHORIZED PAYMENTS
Authorization Agreement for Preauthorized Payments • June 25th, 2024

Green Valley Water (GVW) has a preauthorized payment plan which allows our customers to authorize an automatic debit from their checking account. This service is not subject to a convenience fee, streamlines the GVW operations and ultimately saves our customers money.

AUTHORIZATION AGREEMENT FOR PREAUTHORIZED PAYMENTS
Authorization Agreement for Preauthorized Payments • June 24th, 2021

Green Valley Water (GVW) has an automatic payment plan which allows our customers to authorize an automatic debit from their checking account on a monthly basis. This service is not subject to a convenience fee, streamlines the GVW operations and ultimately saves our customers money.

AGENCY NAME)
Authorization Agreement for Preauthorized Payments • July 9th, 2021

The information requested on this form is required under the Electronic Fund Transfer Act (15 USC § 1693 et seq.), 12 CFR 205, and 31 CFR 206 and 210, for the purpose of authorizing the Department of the Treasury to electronically collect payments from your account. The information will be used to match the records of the government agency with those of the financial institution to direct your payments to the point you authorize. No pre-authorized electronic fund transfer from your account may be transacted unless a signed authorization form is received. Furnishing this information is voluntary; however, failure to furnish this information may delay or prevent the electronic collection of a payment through the Automated Clearing House. You are not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this collection of information is 1530-0015. We estimate that it will take approximately 15 minutes to complete

AUTHORIZATION AGREEMENT FOR PREAUTHORIZED PAYMENTS
Authorization Agreement for Preauthorized Payments • March 19th, 2021
AUTHORIZATION AGREEMENT FOR PREAUTHORIZED PAYMENTS
Authorization Agreement for Preauthorized Payments • January 19th, 2017
AUTHORIZATION AGREEMENT FOR PREAUTHORIZED PAYMENTS
Authorization Agreement for Preauthorized Payments • April 1st, 2022
AUTHORIZATION AGREEMENT FOR PREAUTHORIZED PAYMENTS QUESTIONS: (800) 322-1251 FAX: (937) 393-6444 ONLINE: www.ncb.coop
Authorization Agreement for Preauthorized Payments • March 28th, 2018

Important Applicant Information: Federal law requires financial institutions to obtain sufficient information to verify your identity. You may be asked several questions and to provide one or more forms of identification to fulfill this requirement. In some instances we may use outside sources to confirm the information. The information you provide is protected by our privacy policy and federal law.

AUTHORIZATION AGREEMENT FOR PREAUTHORIZED PAYMENTS
Authorization Agreement for Preauthorized Payments • July 14th, 2022
AUTHORIZATION AGREEMENT FOR PREAUTHORIZED PAYMENTS
Authorization Agreement for Preauthorized Payments • July 29th, 2021
AUTHORIZATION AGREEMENT FOR PREAUTHORIZED PAYMENTS
Authorization Agreement for Preauthorized Payments • November 2nd, 2023
AUTHORIZATION AGREEMENT FOR PREAUTHORIZED PAYMENTS
Authorization Agreement for Preauthorized Payments • June 26th, 2019
AUTHORIZATION AGREEMENT FOR PREAUTHORIZED PAYMENTS
Authorization Agreement for Preauthorized Payments • January 28th, 2022

This Authority is to remain in full force until SEF has received written notification from me/us of its termination in such manner as to afford SEF and DEPOSITORY a reasonable opportunity to act on it.

P R O U L X O I L & P R O P A N E, I N C .
Authorization Agreement for Preauthorized Payments • April 12th, 2006
AUTHORIZATION AGREEMENT FOR PREAUTHORIZED PAYMENTS TO BE WITHDRAWN FROM THE 10TH OF EACH MONTH
Authorization Agreement for Preauthorized Payments • March 19th, 2020
AUTHORIZATION AGREEMENT FOR PREAUTHORIZED PAYMENTS
Authorization Agreement for Preauthorized Payments • November 15th, 2018
Authorization Agreement for Preauthorized Payments
Authorization Agreement for Preauthorized Payments • April 18th, 2019
AUTHORIZATION AGREEMENT FOR PREAUTHORIZED PAYMENTS
Authorization Agreement for Preauthorized Payments • December 13th, 2021

Green Valley Water (GVW) has a preauthorized payment plan which allows our customers to authorize an automatic debit from their checking account. This service is not subject to a convenience fee, streamlines the GVW operations and ultimately saves our customers money.

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AUTHORIZATION AGREEMENT FOR PREAUTHORIZED PAYMENTS: AUTOMATIC CHECKING DEDUCTIONS
Authorization Agreement for Preauthorized Payments • October 22nd, 2010
AUTHORIZATION AGREEMENT FOR PREAUTHORIZED PAYMENTS
Authorization Agreement for Preauthorized Payments • December 19th, 2017
TULAROSA BASIN TELEPHONE COMP ANY TULAROSA COMMUNICATIONS
Authorization Agreement for Preauthorized Payments • May 18th, 2020
AUTHORIZATION AGREEMENT FOR PREAUTHORIZED PAYMENTS
Authorization Agreement for Preauthorized Payments • May 27th, 2017
AUTHORIZATION AGREEMENT FOR PREAUTHORIZED PAYMENTS
Authorization Agreement for Preauthorized Payments • August 4th, 2017
Contract
Authorization Agreement for Preauthorized Payments • November 10th, 2021

AUTHORIZATION AGREEMENT FOR PREAUTHORIZED PAYMENTS CUSTOMER: Please retain a copy for your records. MANAGEMENT COMPANY NAME Homeowner Association Services ASSOCIATION NAME UNIT ADDRESS HOMEOWNER ACCT NUMBER ASSESSMENT $ New ❒ Update ❒ Cancel ❒ UNIT OWNER NAME UNIT OWNER MAILING ADDRESS UNIT OWNER PHONE NUMBER UNIT OWNER EMAIL ADDRESS I/we authorize the above Association to charge my/our checking account at the financial institution indicated on my/our voided check for the payment of my/our monthly association assessment on or about the 8th of each month. I/we understand that these assessments may change periodically, and that such changes will be provided to Alliance Bank. by the above named Association. I/We also understand that it is our responsibility to contact Homeowner Association Services at the address listed, to stop or cancel the automatic preauthorized payment once I am no longer a Unit Owner (or plan to change my payme

Authorization Agreement for Preauthorized Payments
Authorization Agreement for Preauthorized Payments • September 15th, 2021
AUTHORIZATION AGREEMENT FOR PREAUTHORIZED PAYMENTS
Authorization Agreement for Preauthorized Payments • August 17th, 2016
AUTHORIZATION AGREEMENT FOR PREAUTHORIZED PAYMENTS
Authorization Agreement for Preauthorized Payments • May 13th, 2005
AUTHORIZATION AGREEMENT FOR PREAUTHORIZED PAYMENTS COMPANY CUSTOMER’S
Authorization Agreement for Preauthorized Payments • January 14th, 2015
AUTHORTZATION AGREEMENT FOR PREAUTHORIZED PAYMENTS
Authorization Agreement for Preauthorized Payments • December 11th, 2019
BRICKYARD COVE MARINA
Authorization Agreement for Preauthorized Payments • April 15th, 2013
Authorization Agreement For Preauthorized Payments Form
Authorization Agreement for Preauthorized Payments • June 23rd, 2022

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