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Automatic Bank Deduction Authorization PO Box 12625 Salem OR 973090625 Assures TruAdvantageTM Basic (PPO) Assures TruAdvantageTM + Rx Classic (PPO) Assures TruAdvantageTM + Rx Enhanced (PPO) FORM
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How to fill out automatic bank deduction authorization

How to fill out automatic bank deduction authorization:
01
Obtain the necessary form: Contact your bank or financial institution to request the automatic bank deduction authorization form. They may have an online form available for download or you may need to visit a branch to pick up a physical copy.
02
Fill in personal information: Start by entering your full name, address, contact information, and other details as required. This information helps the bank to identify you and link the authorization to your account.
03
Provide bank account details: In the form, you will need to enter your bank account number, the type of account (e.g., checking, savings), and the name of the bank where the account is held. Double-check these details for accuracy.
04
Specify the payee: Indicate the name of the organization or entity that you are authorizing to deduct funds from your bank account. This could be a utility company, a landlord, a subscription service, or any other authorized recipient.
05
Choose the deduction frequency: Select how often you want the deductions to occur. This could be a one-time deduction, monthly, quarterly, or on a specific date. Make sure to read the instructions or contact the recipient to determine what options are available.
06
Determine the amount to be deducted: Specify the specific dollar amount or percentage that should be deducted from your bank account each time. Ensure that you enter this information correctly to avoid any discrepancies.
07
Sign and date the form: Review the form to ensure all the information is accurate and complete. Sign and date the form as required. Some forms may also require a witness or additional information, so follow the instructions provided.
08
Submit the form: Once you have filled out the form, return it to your bank or financial institution. You may need to hand it in at a branch, mail it, or submit it online through their secure portal. Confirm with your bank on the accepted method of form submission.
Who needs automatic bank deduction authorization?
01
Individuals who have recurring payments: Automatic bank deduction authorization is necessary for individuals who have recurring payments to make, such as monthly bills or subscription services. By authorizing the bank to deduct funds from their account automatically, they can ensure timely payments without the need for manual intervention each month.
02
Landlords and property managers: Property owners and managers often require tenants to set up automatic bank deduction authorization for rent payments. This streamlines the rent collection process for both parties and reduces the chance of missed payments or late fees.
03
Utility companies and service providers: Companies offering services like electricity, water, cable, internet, or mobile phone plans may require customers to set up automatic deductions. This ensures the payments are made on time and helps avoid service disruptions.
04
Non-profit organizations and charities: Individuals who want to make regular donations to non-profit organizations or charities may opt for automatic bank deduction authorization. This allows them to support the cause consistently without the need for manual donation processing each time.
05
Any individual or organization with an agreement for automatic payments: Any individual or organization that has an agreement or contract for regular payments can benefit from automatic bank deduction authorization. This includes loan repayments, insurance premiums, membership fees, and more.
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