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MARSHA L. COMBSSKINNER Chapter 13 Standing Trustee Central District of Illinois Peoria×Rock Island Division AUTHORIZATION AGREEMENT FOR AUTOMATIC DEBIT ORIGINATION I (we) hereby authorize the Chapter
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ACH authorization form is a form used to authorize a financial institution or payment processor to electronically debit or credit a checking or savings account for payments or deposits.
Any individual or company that wants to set up electronic payments or deposits using the ACH network is required to file an ACH authorization form.
To fill out an ACH authorization form, you will need to provide your bank account information, the amount to be debited or credited, the frequency of payments, and your authorization signature.
The purpose of an ACH authorization form is to give permission for electronic transactions to be made from or to a bank account using the Automated Clearing House (ACH) network.
The ACH authorization form must include the account holder's name, account number, bank routing number, payment amount, payment frequency, and authorization signature.
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