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PreAuthorized Payment Plan Authorization Form Issued by American National Insurance Company One Moody Plaza, Galveston, TX 775507947 l page 1 of 1 *PAC* American National Insurance Company (AN ICO)
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How to fill out a PREB-Authorized Payment Plan:

01
Gather the necessary information: Before filling out the PREB-Authorized Payment Plan form, make sure you have all the required information readily available. This may include your account number, banking details, and relevant personal information.
02
Access the form: Locate the PREB-Authorized Payment Plan form either online on the service provider's website or obtain a physical copy from their office. Ensure that it is the most up-to-date version of the form.
03
Personal details: Fill in your personal information accurately and clearly. This may include your full name, address, phone number, and email address. Double-check the information for any errors or omissions.
04
Account details: Provide the necessary account details for the payment plan. This includes your account number, billing address, and the service for which you are setting up the payment plan (e.g., utility bill, loan payment, etc.).
05
Choose payment frequency and amount: Indicate the frequency at which you would like to make payments, whether it is monthly, bi-weekly, quarterly, or any other applicable option. Additionally, specify the amount you wish to pay with each installment.
06
Authorization: Sign and date the form to authorize the service provider to deduct the specified amount from your designated account at the agreed-upon intervals. By signing, you confirm that you have read and understood the terms and conditions of the payment plan.

Who needs a PREB-Authorized Payment Plan?

01
Individuals seeking convenience: A PREB-Authorized Payment Plan is beneficial for individuals who prefer automated, hassle-free payments. By setting up a payment plan, they can avoid remembering due dates or manually making payments.
02
Budget-conscious individuals: Those who want to manage their finances effectively find a PREB-Authorized Payment Plan helpful. It allows them to plan and allocate funds for regular bill payments, ensuring they are met in a timely manner.
03
People with irregular income: For individuals with fluctuating income or irregular pay schedules, a PREB-Authorized Payment Plan can provide stability. It allows them to set up an automatic payment schedule aligned with their income inflow.
04
Those with a tendency to forget: If you frequently forget to make payments on time, a PREB-Authorized Payment Plan acts as a reliable safety net. It ensures that payments are made promptly, eliminating the risk of late fees or service interruptions.
05
Individuals seeking to avoid manual payments: With a PREB-Authorized Payment Plan, you can avoid the inconvenience of manual payments, such as writing checks, visiting payment centers, or logging in to payment portals. The plan streamlines the payment process, saving time and effort.
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