Authorization and Agreement Sample Contracts

AUTHORIZATION AND AGREEMENT FOR ELECTRONIC PAYMENTS
Authorization and Agreement • March 8th, 2021

This Authorization and Agreement for Electronic Payments (the “ACH Authorization”) authorizes the Trustee named below to initiate automated clearinghouse (“ACH”) credit entries to Payee’s account at the Financial Institution specified below (the “Account” or “Payee Account”), and to initiate ACH debit and credit entries to correct erroneous or returned ACH entries to the Account, subject to all terms and conditions stated below.

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STEP 2. AUTHORIZATION AND AGREEMENT
Authorization and Agreement • March 21st, 2013

We, the undersigned, authorize Pershing LLC (“Pershing”), as clearing agent for , our broker-dealer, to open a Transfer on Death account according to the terms and conditions set forth herein. This Agreement does not supersede or in any way affect any other agreements including, but not limited to, a Joint Tenant Agreement executed by us for our account, and we agree that we continue to be bound by any such agreements.

AMENDED LOAN AUTHORIZATION AND AGREEMENT (LA&A) A PROPERLY SIGNED DOCUMENT IS REQUIRED PRIOR TO ANY DISBURSEMENT
Authorization and Agreement • August 21st, 2023 • Amphitrite Digital Inc • Water transportation

CAREFULLY READ THE LA&A: This document describes the terms and conditions of your loan. It is your responsibility to comply with ALL the terms and conditions of your loan.

BUILDING INSPECTION AUTHORIZATION AND AGREEMENT
Authorization and Agreement • September 25th, 2013

AGREEMENT: This Agreement is incorporated with the Inspection Report to be prepared by Inspector. Said report is to be prepared for the sole and exclusive use of Client. Anyone executing this agreement on behalf of a buyer or seller of the subject property certifies that he/she is duly authorized by the Client to do so and is bound to deliver to Client the report incorporated herewith along with a copy of this agreement, which shall be binding on the Client.

Authorization and Agreement
Authorization and Agreement • November 4th, 2019
Electronic Data Interchange Transfer Authorization and Agreement Form
Authorization and Agreement • June 12th, 2007

This is an Agreement between the Clay County Property Appraiser, hereinafter "the Property Appraiser," and the Taxpayer named below, hereinafter "the Taxpayer," entered into pursuant to the provisions of the Florida Statutes and Administrative Codes.

Individual Transfer on Death Account Agreement
Authorization and Agreement • February 18th, 2020

I, the undersigned, authorize Pershing LLC (“Pershing”), as clearing agent for , my broker- dealer, to open a Transfer on Death account according to the terms and conditions set forth herein. This Agreement does not supersede or in any way affect any other agreements executed by me for my account, and I agree that I continue to be bound by any such agreements.

Joint Transfer on Death Account Agreement
Authorization and Agreement • February 18th, 2020

We, the undersigned, authorize Pershing LLC (“Pershing”), as clearing agent for , our broker-dealer, to open a Transfer on Death account according to the terms and conditions set forth herein. This Agreement does not supersede or in any way affect any other agreements including, but not limited to, a Joint Tenant Agreement executed by us for our account, and we agree that we continue to be bound by any such agreements.

CHOICETRADE
Authorization and Agreement • October 12th, 2020

I, the undersigned, authorize Electronic Transaction Clearing, Inc. (“ETC”), as clearing agent for CHOICETRADE, my broker- dealer, to open a Transfer on Death account according to the terms and conditions set forth herein. This Agreement does not supersede or in any way affect any other agreements executed by me for my account, and I agree that I continue to be bound by any such agreements.

AUTHORIZATION AND AGREEMENT FOR DIRECT PAYMENTS (ACH DEBITS) MONTHLY MAINTENANCE
Authorization and Agreement • August 3rd, 2021
Umpqua E-Sign Authorization and Agreement
Authorization and Agreement • May 31st, 2017

This E-Sign Authorization and Agreement (the “Agreement”) can be saved or printed for your records. The words “Umpqua,” “we,” “us,” and “our” refer to Umpqua Bank, and the words “you” and “your” means the person giving this consent, and also each additional account owner, authorized signer, authorized representative, delegate, product owner and/or service user identified on any Umpqua Bank Online Product that you apply for, use or access. As used herein, Umpqua Bank Online Product means each and every account, product or service we offer that you apply for, own, use, administer or access, via the Internet, a website, email, messaging service and/or software applications (including applications for mobile or hand-held devices) either now or in the future. By submitting your enrollment, you accept the terms and conditions of this Agreement. Please read carefully.

AUTHORIZATION AND AGREEMENT FOR ELECTRONIC PAYMENTS
Authorization and Agreement • February 25th, 2021

This Authorization and Agreement for Electronic Payments (the “ACH Authorization”) authorizes the Trustee named below to initiate automated clearinghouse (“ACH”) credit entries to Payee’s account at the Financial Institution specified below (the “Account” or “Payee Account”), and to initiate ACH debit and credit entries to correct erroneous or returned ACH entries to the Account, subject to all terms and conditions stated below.

Rev.Net® Direct Connect Terms
Authorization and Agreement • October 19th, 2009
Authorization and Agreement for Release of Information
Authorization and Agreement • January 2nd, 2019

I, the undersigned client of KLM Attorneys LLC (“law firm”), duly authorize law firm to freely discuss my case with the individual described below:

Authorization and Agreement for Direct Payments (ACH Debits)
Authorization and Agreement • January 23rd, 2023
AUTHORIZATION AND AGREEMENT FOR DIRECT PAYMENTS (ACH DEBITS) MONTHLY MAINTENANCE
Authorization and Agreement • July 5th, 2023
Integrated Energy Data Resource (IEDR) Proposed User Agreements
Authorization and Agreement • May 28th, 2024 • New York

The New York State Energy Research and Development Authority (NYSERDA) and E Source Companies LLC (E-Source) hereby submit the following agreements and process documentation for the Commission consideration and adoption. The agreements and process documentation address data quality and integrity standards, cybersecurity, and privacy as well as other requirements that the E-Source LLC and the Integrated Energy Data Resource Platform Users must comply with.

AUTHORIZATION AND AGREEMENT FOR ELECTRONIC PAYMENTS
Authorization and Agreement • January 25th, 2021

This Authorization and Agreement for Electronic Payments (the “ACH Authorization”) authorizes the Trustee named below to initiate automated clearinghouse (“ACH”) credit entries to Payee’s account at the Financial Institution specified below (the “Account” or “Payee Account”), and to initiate ACH debit and credit entries to correct erroneous or returned ACH entries to the Account, subject to all terms and conditions stated below.

Cellular Device Authorization and Agreement
Authorization and Agreement • May 3rd, 2022
Authorization and Agreement
Authorization and Agreement • August 28th, 2020

This memorandum of understanding is an agreement between the club and the district and acknowledges that the club will undertake measures to ensure the proper implementation of grant activities and proper management of Foundation grant funds. By authorizing this document, the club agrees to comply with all of the conditions and requirements of the MOU.

AUTHORIZATION AND AGREEMENT FOR RELEASE OF INFORMATION
Authorization and Agreement • February 17th, 2021

I, the undersigned client of KLM Attorneys LLC (“law firm”), duly authorize law firm to freely discuss my case with the individual described below:

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STEP 2. AUTHORIZATION AND AGREEMENT
Authorization and Agreement • March 9th, 2010

We, the undersigned, authorize Pershing LLC (“Pershing”), as clearing agent for , our broker-dealer, to open a Transfer on Death account according to the terms and conditions set forth herein. This Agreement does not supersede or in any way affect any other agreements including, but not limited to, a Joint Tenant Agreement executed by us for our account, and we agree that we continue to be bound by any such agreements.

Contract
Authorization and Agreement • October 7th, 2020

THIS AUTHORIZATION and AGREEMENT (hereafter "Agreement") is made and entered into on _______(Date)______________, by and between __(Organization or League Name)______, hereafter referred to as "_League_", which term also includes all of its officers, agents and employees, if any, and ___(Referee Name)____________, hereinafter referred to as "Official". This Agreement shall expire on______(Date)______.

New Horizon Home Inspection Company
Authorization and Agreement • December 15th, 2020

Client requests New Horizon Home Inspection Company, hereinafter collectively referred as the “Company”, to perform a limited non-invasive, non-destructive visual inspection of readily accessible areas and conditions of the above subject property, and client hereby represents and warrants that all approvals necessary have been secured for the Company’s entrance to the property.

AUTHORIZATION AND AGREEMENT FOR SELF- ADMINISTRATION OF MEDICATION AT SCHOOL
Authorization and Agreement • May 23rd, 2016

In order for your child to carry a self-administered medication on his/her person, the following must be understood and agreed upon by the student and parents:

Authorization and Agreement for Deposits and Withdrawals (ACH Debits/Credits) Ag Banking OnLine
Authorization and Agreement • May 12th, 2022

This is to certify that I/we authorize and direct the Association to make/receive electronic transfers from/to the Loan, Funds Held, and Advance Conditional Payment Account as submitted here (the “Accounts”) to/from my/our commercial bank account as submitted, (including any adjustments for entries made in error). This authorization applies only to transfers to and from the Bank and the Accounts specified. All transfers under this Agreement are also subject to Association policies and procedures and the general terms and conditions of the Loan, Funds Held Account, and Advance Conditional Payment Account agreements establishing the Accounts. If applicable, I/we expressly acknowledge the security procedures offered by Association in connection with Ag Banking OnLine and hereby accept and agree to be bound by these security procedures. I/we further agree that all transfers requested will be for the business and/or agricultural purposes described in my/our loan application.

Twelve Month Pay Authorization and Agreement
Authorization and Agreement • August 6th, 2018
Twelve Month Pay Authorization and Agreement
Authorization and Agreement • October 7th, 2022
Contract
Authorization and Agreement • October 29th, 2020

THIS AUTHORIZATION and AGREEMENT (hereafter "Agreement") is made and entered into on _______(Date)______________, by and between __(State Referee Committee Name)_____, hereafter referred to as "SRC", which term also includes all of its officers, agents and employees, if any, and ___(Referee Instructor Name)____________, hereinafter referred to as "Instructor". This Agreement shall expire on______(Date)______.

CREDIT CARD AUTHORIZATION AND AGREEMENT
Authorization and Agreement • September 4th, 2019
TAX SHELTERED ANNUITY AUTHORIZATION AND AGREEMENT
Authorization and Agreement • April 28th, 2005
Repair Authorization and Agreement
Authorization and Agreement • December 8th, 2021

By signing this you give permission to Empire Dent and Body to be able to operate on the above listed vehicle for repair. Any damages that are not on insurance estimate that are not fixed by Empire Dent and Body are considered courtesy repairs and company which are done in the allotted amount of time given will be done to the best of our ability. Any dissatisfaction Empire Dent and Body will not be held liable. Storage fees will commence 1 day after notification of vehicle repairs are complete. If for any reason the work arrangement should be canceled by either party, the following fees may apply; Storage fee($35 per day) administration fees ($75 per day), as well as restocking fees, tear down and transfer fees may also be applied from the date it was dropped off at the shop to the day it gets picked up/delivered. If your vehicle has an original estimate over $5,000.00 the repairs may take longer that 30 days. Please make sure you have an alternate source of transportation. Insurance c

EXHIBIT 10.21 LETTER OF CREDIT REIMBURSEMENT AGREEMENT [LOGO] M & T BANK
Authorization and Agreement • October 16th, 1997 • CVC Inc • New York
AUTHORIZATION AND AGREEMENT FOR DEPOSITS‌
Authorization and Agreement • February 11th, 2021 • Texas

This is to certify that I/we authorize and direct the Association to make/receive electronic transfers from/to the Loan, Funds Held, and Advance Conditional Payment Accounts listed in the electronic form (the “Loan Number(s)”) to/from my/our commercial bank account as listed in the electronic form, (including any adjustments for entries made in error). This authorization applies only to transfers to and from the Bank and the Accounts specified in the form. All transfers under this Agreement are also subject to Association policies and procedures and the general terms and conditions of the Loan, Funds Held Account, and Advance Conditional Payment Account agreements establishing the Accounts listed in the electronic form. If applicable, I/we expressly acknowledge the security procedures offered by Association in connection with Ag Banking OnLine and hereby accept and agree to be bound by these security procedures. I/we further agree that all transfers requested will be for the business o

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