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P.O. Box 14510 Des Moines, IA 503063510 Toll Free 18667059100 Policy/Certificate Number Bank Draft Authorization Complete this section if you have chosen the monthly automatic payment option for ongoing
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How to fill out bank draft authorization

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How to fill out bank draft authorization

01
Step 1: Get a bank draft authorization form from your bank.
02
Step 2: Fill out the personal information section of the form, including your name, address, and contact details.
03
Step 3: Provide your bank account information, including the account number and the bank branch where your account is held.
04
Step 4: Specify the amount you wish to authorize for the bank draft.
05
Step 5: Sign and date the authorization form.
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Step 6: Submit the completed form to your bank for processing.

Who needs bank draft authorization?

01
Individuals who need to send a secure payment
02
Businesses or organizations that require a guaranteed form of payment
03
Individuals or businesses making cross-border payments
04
People who prefer not to disclose their bank account details directly
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Bank draft authorization is a form that allows a bank to withdraw funds directly from a customer's account to pay for goods or services.
Anyone who wishes to use bank draft authorization as a payment method may be required to file the authorization form.
To fill out bank draft authorization, you will need to provide your personal information, bank account details, the amount to be authorized, and the recipient's details.
The purpose of bank draft authorization is to facilitate the automated transfer of funds from a customer's account to pay for goods or services, without the need for manual processing.
The information required on a bank draft authorization form typically includes the customer's name, bank account number, amount to be authorized, and the recipient's details.
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