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P RE AU T HO RI HE D E BI T P AR TI CI P AN T AU T H O R I Z AT I O N FO RM PAYEE Company Name: INSTRUCTIONS: Please complete all sections to instruct your financial Address: institution to make payments
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The account holder financial institution is a bank or any other type of financial entity where the account holder holds a financial account.
The financial institution is required to file account holder financial institution information to comply with reporting requirements.
To fill out the account holder financial institution, the financial institution must provide relevant account information of the account holder.
The purpose of account holder financial institution is to report financial account information of the account holder to tax authorities for compliance and transparency.
The information reported on account holder financial institution includes account holder's name, address, account number, account balance, and any income generated from the account.
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