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For Office Use Only Pre-Authorized Payment Agreement Fax Completed Form To: 214-637-5951 M# Date Entered / / The following account information is to be used for: Name Real Estate License # (Please

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What is pre-authorized payment agreement?

A pre-authorized payment agreement is a contract between a payer and a payee that authorizes the payee to withdraw funds from the payer's account on a regular basis to fulfill a financial obligation.

Who is required to file pre-authorized payment agreement?

Anyone who wishes to authorize a payee to withdraw funds from their account on a regular basis is required to file a pre-authorized payment agreement.

How to fill out pre-authorized payment agreement?

To fill out a pre-authorized payment agreement, both the payer and payee must include their contact information, banking details, and the terms of the payment agreement.

What is the purpose of pre-authorized payment agreement?

The purpose of a pre-authorized payment agreement is to provide a convenient and automatic way for payees to receive payments on a regular basis, while ensuring the payer's consent and control over the authorized withdrawals.

What information must be reported on pre-authorized payment agreement?

The pre-authorized payment agreement should include the payer's name, contact information, banking details, the payee's name, contact information, the purpose and frequency of the payments, and any applicable fees or cancellation policies.

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