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Town of Florence P.O. Box 2670 Florence, AZ 85132 5208687570 Website: www.florenceaz.gov AUTHORIZATION AGREEMENT FOR DIRECT PAYMENTS (ACH DEBITS) I (we) hereby authorize the Town of Florence, hereinafter
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How to fill out ach authorization revised 12-2014

01
Start by entering the date in the designated space at the top of the form. Make sure to use the format specified, which is revised 12-2014.
02
Provide your name and contact information accurately. This includes your full name, mailing address, telephone number, and email address. Double-check for any errors or omissions.
03
If applicable, enter your business name and contact information. This step is necessary if you are completing the ach authorization on behalf of a company or organization.
04
Indicate the type of account the ach authorization is for. This can include checking accounts, savings accounts, or any other applicable account type.
05
Fill in your bank's information, including the bank name, address, and routing number. It's crucial to enter this information correctly to avoid any issues with the authorization process.
06
Specify the account number associated with the account you want to authorize for Automated Clearing House (ACH) transactions. This is the account that will be used for the transfer of funds.
07
Review the terms and conditions specified in the form. Ensure that you fully understand the rights and obligations associated with giving ACH authorization. If you have any concerns or questions, seek clarification from your bank or financial institution.
08
Sign and date the ach authorization form at the bottom. This signifies that you have read and agreed to the terms and conditions outlined in the document.
09
Attach any additional documents, if required. Some banks or institutions may request additional supporting documentation along with the ach authorization form. Check the instructions provided to see if any additional materials are necessary.
10
Keep a copy of the ach authorization form for your records. It's important to retain a copy of the completed form for your reference in case any questions or issues arise in the future.
Who needs ach authorization revised 12-2014?
01
Individuals who need to set up automatic payments for bills or recurring expenses may need to fill out the ach authorization form.
02
Businesses or organizations that want to receive payments directly from customers' bank accounts may require their customers to complete the ach authorization form.
03
Financial institutions such as banks or credit unions may request their customers to fill out the ach authorization form to authorize ACH transactions.
04
Anyone participating in electronic fund transfers, whether as a sender or receiver, may need to complete the ach authorization form to comply with banking regulations.
05
Employers who offer direct deposit as a payment option for their employees may ask employees to fill out the ach authorization form to facilitate direct deposit transfers.
Overall, the ach authorization form is necessary for individuals, businesses, and organizations that wish to authorize the transfer of funds via the Automated Clearing House system.
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What is ach authorization revised 12?
ACH Authorization Revised 12 is a revised version of the ACH authorization form used for electronic fund transfers.
Who is required to file ach authorization revised 12?
Any individual or organization that wants to authorize electronic fund transfers through the ACH network is required to file ACH Authorization Revised 12.
How to fill out ach authorization revised 12?
To fill out ACH Authorization Revised 12, you need to provide your personal or business information, bank account details, and authorize the electronic fund transfers.
What is the purpose of ach authorization revised 12?
The purpose of ACH Authorization Revised 12 is to provide authorization for electronic fund transfers through the ACH network.
What information must be reported on ach authorization revised 12?
The information reported on ACH Authorization Revised 12 includes personal or business information, bank account details, and authorization for electronic fund transfers.
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