Authorized Agreement Sample Contracts

AUTHORIZED AGREEMENT FOR AUTOMATIC PAYMENTS (ACH DEBITS)
Authorized Agreement • June 5th, 2017
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AUTHORIZED AGREEMENT FOR PREAUTHORIZED PAYMENTS CITY OF KIOWA
Authorized Agreement • June 13th, 2017
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Authorized Agreement • June 22nd, 2004

THIS AUTHORITY IS TO REMAIN IN FULL FORCE AND EFFECT UNTIL BODY-SOLID AND ABOVE BANK HAVE COMPLETED THIS TRANSACTION OR HAVE RECEIVED WRITTEN NOTIFICATION FROM ME (OR EITHER OF US) OF ITS TERMINATION IN SUCH TIME AND IN SUCH MANNER AS TO AFFORD BODY-SOLID AND ABOVE BANK A REASONABLE OPPORTUNITY TO ACT ON IT.

AUTHORIZED AGREEMENT FOR: DIRECT DEPOSIT
Authorized Agreement • August 9th, 2016
AUTHORIZED AGREEMENT FOR PRE-AUTHORIZED DEBITS
Authorized Agreement • September 29th, 2005
FORD MOTOR COMPANY FORD AUTHORIZED AGREEMENT FOR THE QUALIFIED VEHICLE MODIFIERS (QVM) PROGRAM
Authorized Agreement • January 19th, 2005 • Coach Industries Group Inc • Retail-miscellaneous retail • Michigan

THIS AGREEMENT, is made this TWENTY-THIRD (23) day of MARCH, 2004 between COMMERCIAL TRANSPORTATION MANUFACTURING COMPANY (CTMC), a WHOLLY OWNED SUBSIDIARY OF COACH INDUSTRIES GROUP, INC. (CIGI) corporation having its principal place or business at 35 CARLOUGH ROAD BOHEMIA NY 11716 (“Modifier”), and Ford Motor Company, a Delaware corporation with its principal place of business at the American Road, Dearborn, Michigan 48121 (“Ford”).

AUTHORIZED AGREEMENT FOR AUTOMATIC CREDIT CARD/DEBIT CARD CHARGE
Authorized Agreement • February 10th, 2020
AUTHORIZED AGREEMENT FOR AUTOMATIC UTILITY PAYMENTS (ACH)
Authorized Agreement • July 18th, 2018
PRE-AUTHORIZED AGREEMENT
Authorized Agreement • November 23rd, 2011

IPFS Corporation is hereby authorized to debit our account, indicated below, for all amounts specified in our Premium Finance Agreement. Such amounts represent deferred payments due under the terms of our Premium Finance Agreement. This authorization shall extend to include any revised payment amounts, late charges, NSF charges, charges which may result from revisions to our Premium Finance Agreement, or other amounts due to IPFS Corporation under the terms thereof. The funds should be available in the account as of the payment due date. In the event the debit falls on a Saturday, Sunday or holiday, IPFS Corporation may debit the account on the next succeeding business day of Saturday, Sunday or holiday.

Contract
Authorized Agreement • April 24th, 2017

AUTHORIZED AGREEMENT FOR PRE AUTHORIZED TRANSFERS I (we) hereby authorize the City of Gilbert, Iowa to initiate debt entries indicated below. Transfer Amount: Variable Monthly Amount, Debit Full Monthly Utility Service Bill. Transfer Date: 15th of Each Month. In the event the 15th falls on a holiday or weekend, transfer the next business day. CUSTOMER INFORMATION: Utility Account Number: Contact Number: Name on Utility Account: Property Location: TRANSFER FROM: Bank Name: Checking Account / Savings Account Bank Address: Routing Number: Account Number: Name on Bank Account: TRANSFER TO: City of Gilbert, Iowa This authority is to remain in full force and effect until the City of Gilbert, Iowa has received notification from the account holder of termination, in such time and in such manner as to afford the City a reasonable opportunity to act upon it. Signature of Account Holder: Dated: Office Use Only: Date Received: Date Processed: First effective date: B

Authorized agreement for preauthorized loan payments
Authorized Agreement • February 22nd, 2017

Please print and complete this form if you’d like to set up recurring monthly transfers to your loan payment from an external bank account. .

AUTHORIZED AGREEMENT FOR PREAUTHORIZED PAYMENTS
Authorized Agreement • September 6th, 2018
AUTHORIZED AGREEMENT FOR
Authorized Agreement • February 25th, 2021
Authorized Agreement for Direct Debit Payment
Authorized Agreement • January 30th, 2023
PRE-AUTHORIZED AGREEMENT Direct Pay (ACH Debits)
Authorized Agreement • February 2nd, 2015

Arrow Insurance Service, Inc, is hereby authorized to debit our account, indicated below, for all SPAH dues and insurance premiums. This authorization shall extend to include any late charges, NSF charges, or other amounts due to Arrow Insurance Service, Inc. in connection with SPAH dues and insurance premiums. The funds should be available in the account as of the payment due date. In the event the debit falls on a Saturday, Sunday or holiday, Arrow Insurance Service, Inc. may debit the account on the next succeeding business day of Saturday, Sunday or holiday.

AUTHORIZED AGREEMENT FOR AUTOMATIC CREDIT CARD CHARGE
Authorized Agreement • February 2nd, 2022
AUTHORIZED AGREEMENT FOR DIRECT PAYMENT BY ELECTRONIC FUNDS TRANSFER: HOPE CHURCH
Authorized Agreement • March 24th, 2010

Debit Authorization: I hereby authorize Hope Church to initiate EFT withdrawals from the account indicated above. I further authorize, if necessary, adjusting entries to be made to correct any errors made to the account indicated above. This authorization shall remain in force and effect until I notify Hope Church in writing or by phone call of its termination in such time and in such manner as to afford Hope Church and the financial institution a reasonable time to act on it.

AUTHORIZED AGREEMENT FOR AUTOMATIC CREDIT CARD/DEBIT CARD CHARGE
Authorized Agreement • April 4th, 2017
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AUTHORIZED AGREEMENT FOR:
Authorized Agreement • August 15th, 2013

This authority is to remain in full force and effect until COMPANY has received written notification from us of its termination in such time and in such manner as to afford COMPANY and Financial Institution a reasonable opportunity to act upon it. (minimum of one week prior to withdrawal).

Another Word For Authorized Agreement
Authorized Agreement • July 14th, 2021

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AUTHORIZED AGREEMENT FOR AUTOMATIC CLEARING HOUSE (ACH) DEBITS
Authorized Agreement • April 25th, 2020
Contract
Authorized Agreement • August 4th, 2008

WESTMARKET HOMEOWNERS ASSOCIATION AUTHORIZED AGREEMENT FOR DIRECT DEBIT ⮚ Complete ALL of the following information AND⮚ Include a voided check – sign and date the form. Your Bank or Depository Branch / Location City State Zip Code Routing # (located at the bottom of check) Your Bank Account # Your Westmarket Account # 56- Name(s) Address Phone Number (H) (W) SIGNED DATE SIGNED DATE

AUTHORIZED AGREEMENT FOR PREARRANGED PAYMENTS (DEBITS)
Authorized Agreement • November 9th, 2016

This is my authorization for Love’s Family of Companies (Love’s Travel Stops & Country Stores, Inc., Musket Corporation, Gemini Motor Transport L.P., or Trillium Transportation Fuels, LLC) to automatically debit my account as listed below:

AUTHORIZED AGREEMENT FOR CREDIT CARD PAYMENT TO RUSSELL VENTURES, INC.
Authorized Agreement • September 27th, 2010
AUTHORIZED AGREEMENT FOR PRE-AUTHORIZED DEBITS
Authorized Agreement • September 29th, 2005
AUTHORIZED AGREEMENT FOR AUTOMATIC DEPOSITS (ACH CREDITS)
Authorized Agreement • August 16th, 2019
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