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00 to be debited from my account if a debit is returned unless the returned item was the result of an error by the processor. Clear Form ACH Authorization Form General Shelters of Texas Ltd. Date PO BOX 2108 CENTER TX. 75935 Phone Number 936-598-3389 Fax Number 936-590-4001 Website www. The First Payment Date AUTHORIZATION I authorize the electronic debit or debits to my account as outlined in the above form. I understand and agree that the electronic debit will continue until the total...
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Center TX stands for Center Tax, which is a form used for reporting tax information.
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