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Payment Authorization Form A. APPLICANT INFORMATION Last Name First Name SS# B. INITIAL METHOD OF PAYMENT ? Automatic Bank Draft (Complete Bank Draft Authorization below) ? Credit Card (Complete Credit
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Payment authorization form is a document that allows a payer to grant permission to another party to charge their account or payment method for a specific transaction or recurring payments.
The payer or the individual giving authorization is required to fill out and file the payment authorization form.
To fill out the payment authorization form, you need to provide your personal information, payment details, and sign the form to authorize the payment.
The purpose of the payment authorization form is to ensure that the payer authorizes specific payments from their account and to establish a record of their permission and consent.
The payment authorization form typically requires information such as the payer's name, contact details, payment method, account or card details, and the amount or frequency of payments.
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