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AUTOMATIC DEBIT AUTHORIZATION AGREEMENT For Pre-arranged payments (ACH Debits) Client Name: I hereby authorize Atlas Resources, Inc. to initiate automatic ACH debits from my business checking account
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How to fill out automatic debit authorization

How to Fill Out Automatic Debit Authorization:
01
Obtain the form: Contact your bank or financial institution to obtain the automatic debit authorization form. This form may also be available for download from their website.
02
Fill in your personal information: Start by filling in your full name, address, phone number, and email address in the designated fields. This information is crucial for identifying your account and setting up the automatic debit correctly.
03
Provide your bank account details: Enter the relevant information regarding your bank account, such as the account number and routing number. Double-check the accuracy of these details to ensure that the debits will be processed correctly.
04
Specify the payee information: Indicate the name of the payee or company that will be receiving the automatic debits from your account. This can be a utility company, subscription service, or any other authorized entity that you wish to grant automatic debit privileges to.
05
Determine the payment amount and frequency: State the specific payment amount that will be debited from your account, as well as the frequency at which these debits should occur (e.g., weekly, monthly, annually). Make sure to verify and accurately input these details so that the correct amounts are deducted.
06
Review and sign the form: Carefully review all the information you have provided on the form before signing it. Ensure that all the details are accurate and complete. Once you are satisfied, sign and date the form as requested.
07
Submit the authorization form: Send the completed automatic debit authorization form to your bank or financial institution through the specified method. This may include mailing it, dropping it off at a branch, or submitting it electronically if available.
Who Needs Automatic Debit Authorization?
Automatic debit authorization may be needed by individuals or businesses who wish to set up recurring payments or automatic bill payments. It can be particularly useful for individuals who want to streamline their payment processes or businesses that want to offer convenient payment options to their customers. By providing the necessary authorization, individuals or businesses can authorize specific payees or companies to withdraw funds directly from their bank accounts on a regular basis. This eliminates the need for manual payments, reduces the risk of missed payments, and can ensure timely and hassle-free transactions.
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What is automatic debit authorization?
Automatic debit authorization is a process where a person gives permission to a company or organization to automatically withdraw funds from their bank account to pay for goods or services.
Who is required to file automatic debit authorization?
Any individual or organization that wishes to set up automatic debit payments is required to file automatic debit authorization.
How to fill out automatic debit authorization?
To fill out automatic debit authorization, one must provide their bank account information, authorize the company to withdraw funds, and sign the authorization form.
What is the purpose of automatic debit authorization?
The purpose of automatic debit authorization is to make it easier for individuals and organizations to make payments without the need for manual transactions.
What information must be reported on automatic debit authorization?
The information required on automatic debit authorization includes the individual's or organization's bank account details, the amount to be withdrawn, and the frequency of the payments.
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