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Get the free Electronic Debit Authorization. Funeral Fund Account Application Form

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Electronic Debit Authorization Client Name: DBA: Address: Bank Name: ABA Routing #: Account #: Bank is hereby authorized and instructed to honor debits and credits to client s demand deposit account
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How to fill out electronic debit authorization funeral

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How to fill out electronic debit authorization funeral:

01
Obtain the electronic debit authorization form from the funeral home or cemetery. This form may also be available online for download.
02
Fill out the personal information section of the form, including your full name, address, phone number, and email address. Make sure to provide accurate and up-to-date information.
03
Specify the name of the deceased person for whom you are authorizing the electronic debit. Include their full name, date of birth, and date of death.
04
Provide the necessary banking information. This may include your bank account number, routing number, and the name of the bank where your account is held. Double-check the accuracy of this information to prevent any errors.
05
Indicate the amount and frequency of the debits. You may need to specify whether it is a one-time payment or recurring payments. If it is recurring, state the frequency of the debits (e.g. monthly, quarterly, annually) and the desired start and end dates.
06
Review the authorization clauses carefully. Understand the terms and conditions of the electronic debit authorization before signing it. If you have any doubts or questions, seek clarification from the funeral home or cemetery staff.
07
Sign and date the form. By signing the electronic debit authorization, you are giving permission for funds to be withdrawn from your bank account for the funeral expenses.
08
Make a copy of the signed form for your records before submitting it to the funeral home or cemetery.

Who needs electronic debit authorization funeral?

01
Individuals who have made arrangements for a funeral or burial service for a deceased loved one.
02
Those who have opted to pay for the funeral expenses through electronic debit rather than other payment methods such as cash, check, or credit card.
03
People who want to ensure timely and automatic payments for funeral-related costs without the need for manual transactions.
Note: It is advisable to consult with the funeral home or cemetery to confirm whether electronic debit authorization is accepted as a payment method and to obtain any specific instructions or requirements for filling out the form.
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